[Evaluation of a four-year experience with laparoscopic surgery in Abidjan, Ivory Coast]. / Bilan de quatre années de chirurgie laparoscopique à Abidjan.

Laparoscopic surgery is now a widely accepted modality for gastrointestinal surgery. In this report the authors evaluate their four-year experience with laparoscopic surgery in a total of 494 patients in Abidjan, Ivory Coast. Cholecystectomy and appendectomy were the main indications in this series. However laparoscopic surgery has a wide range of applications in Black Africa not only for elective indications such as evaluation of chronic abdominal pain and digestive cancer but also emergency indications such as peritonitis and abdominal trauma.

[Video-assisted left colectomy for severe constipation. Description of two cases]. / Colectomie gauche cielio-assistée pour constipation morbide, à propos de deux cas.

The purpose of this report is to describe two cases involving a 43-year-old man and a 41-year-old woman who underwent laparoscopic surgery for dolichocolon causing severe constipation. In both cases the procedure consisted of left colectomy with colorectal anastomosis. There was no operative mortality or morbidity. The outcome on constipation was good. This study demonstrates the utility of laparoscopy for treatment of dolichocolon in carefully selected patents.

[Not Available].

Objective : The aim of this study was to analyse the coelioscopic surgery in appenditis. Method : We done a retrocpective study concerning 150 coelioscopic surgery in appenditis during 42 months. Result : In the study period we done more than three times coelioscopic sergery. In our study we includ 86 femals (57,3%) and 64 males (42,7%). The mean reason of surgery was tipical clinical appenditis in 124 cases (82,6%), chronic abdominal ack in 10 cases and other reasons for the last 16 cases. The appendice was take of by the "external method" in 76 cases (50,6%) "internal method" in 9 cases (6%) and the two methods in 61 cases (40,6%). In 33 cases (21,3%) the surgery of appendice was associeted with other surgery. In term of morbidity we notice three cases of parietal abces (2%). Any mortality was notice in our serial. Conclusion : Ceolioscopic sergery is a good and pratical method in appenditis tratment it allows the minimizing of hospitalisation stay.

[Crohn's disease: first report in Côte-d'Ivoire]. / Maladie de Crohn: première description en Côte-d'Ivoire.

The authors report the first case of Crohn's disease in Côte-d'Ivoire. A 20-year-old Ivorian man presented chronic diarrhea and weight loss over six years. Ulcerated lesions were found throughout the colon extending to the terminal ilieum but not involving the rectum. Diagnosis of Crohn's disease was established on radiological and histological findings. Treatment consisted of total colectomy with ileorectal anastomosis. This case is of special interest because of the extremely low incidence of Crohn's disease in black Africa.

Bilan de quatre annees de chirurgie laparoscopique a Abidjan

La chirurgie laparoscopique fait partie integrante de l'arsenal therapeutique en chirurgie digestive. Les auteurs font le bilan de quatre annees d'experience a propos de 494 patients operes par cette methode a Abidjan; Cote d'Ivoire. Si les indications essentielles sont representees par les cholecystectomies et les appendicectomies; le champ d'application de la coeliochirurgie est interessant en Afrique Noire tant en chirurgie reglee (exploration laparoscopique des douleurs abdominales chroniques et des cancers digestifs) qu'en chirurgie d'urgence (peritonite; contusion abdominale)

Bilan de quatre annees de chirurgie laparoscopique a Abidjan

La chirurgie laparoscopique fait partie integrante de l'arsenal therapeutique en chirurgie digestive. Les auteurs font le bilan de quatre annees d'experience a propos de 494 patients operes par cette methode a Abidjan; Cote d'Ivoire. Si les indications essentielles sont representees par les cholecystectomies et les appendicectomies; le champ d'application de la coeliochirurgie est interessant enAfrique Noire tant en chirurgie reglee (exploration laparoscopique des douleurs abdominales chroniques et des cancers digestifs) qu'en chirurgie d'urgence (peritonite; contusion abdominale)