Nephrectomies: Indications, Approaches and Post-operative Morbidity at Conakry University Hospital – Guinea

Abstract

Aim: To report the indications, the approach and the complications of nephrectomy in the urology department of the University Hospital of Conakry. Material and methods: Retrospective descriptive study of 10 years duration, from October 1, 2006 to September 30, 216, on 34 patients who underwent nephrectomy. The parameters studied were: age, sex, operative indication, approach, type of nephrectomy, postoperative morbidity and mortality. The average follow-up was 12 months. Results: Between October 2006 and September 2016, 7064 surgical procedures were performed, including 34 nephrectomies, i.e. 0.48% of cases. Nephrectomy was indicated in 13 cases of renal tumor, 12 cases of pyeloureteral junction syndrome, 6 cases of pyonephrosis and 3 cases of American Association of Surgeons of Trauma stage IV kidney trauma.) Lumbotomy was the approach in 22 patients. Nephrectomy was extended in 16 patients and total in 18 others. We noted 4 cases of bleeding complications, 4 cases of parietal suppuration, 2 cases of death and 1 case of phlebitis. Conclusion: The indication for nephrectomy was rare in the department. The indications were varied, the most common being renal tumors and decompensated pyelo ureteral junction anomaly. Early management of renal pathologies would reduce the indication for nephrectomy.