Laparoscopic Nephrectomies: A Breakthrough in a Sub-Saharan University Hospital in Dakar, Senegal: Results of a Global Health Surgery Collaboration

Abstract

Background and Aim: The technique of laparoscopic nephrectomy represents a significant advancement in reducing perioperative complications, postoperative morbidity, and hospitalization durations. Despite the long learning curve and the costs associated with instrumentation, its development in Senegal is now a reality. Objectives: Our objective was to present the initial results of a series of laparoscopic nephrectomies performed at the Urology Department of Idrissa Pouye General Hospital. Methodology: This was a retrospective, descriptive study conducted at the Urology-Andrology Department of Idrissa Pouye General Hospital on patients who underwent laparoscopic nephrectomy from 2010 to 2024. We studied the epidemiological and clinical characteristics and compared our results with those in the literature. Results: Sixteen cases of laparoscopic nephrectomies were collected during the study period, with surgical indications being 44% for renal tumors and 56% for non-functional kidneys. Surgically, all interventions were performed via the transperitoneal route, with 2 cases converted to open surgery, and the average duration of the interventions was 234 minutes. The postoperative follow-up reveals no major or minor complications, with an average hospital stay of 5 days. Conclusion: Laparoscopic nephrectomy is a safe and validated surgical technique. It offers satisfactory results with zero mortality and reduced morbidity. Its continuous and sustainable practice depends on the willingness of decision-makers to invest in the acquisition, maintenance, and renewal of equipment, as well as training.