EAS Publisher | Rectal Surgery in an Urban African Setting: Indications, Operative Procedures and Outcomes in Douala (Cameroon)

Rectal Surgery in an Urban African Setting: Indications, Operative Procedures and Outcomes in Douala (Cameroon)

DOI : https://doi.org/10.36349/easjms.2026.v08i01.003

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Background: Rectal surgery is technically demanding and associated with significant morbidity. In sub-Saharan Africa, delayed presentation frequently leads to advanced disease and emergency surgery. Objective: To describe indications, operative procedures and postoperative outcomes of rectal surgery in three referral hospitals of Douala, Cameroon. Methods: Retrospective descriptive multicenter study conducted from January 2018 to December 2023, including patients aged ≥15 years who underwent rectal surgery. Sociodemographic data, operative indications, surgical procedures, postoperative morbidity and in-hospital mortality were analyzed. Results: Ninety-one patients were included. Mean age was 54.6 ± 13.4 years with a male predominance (sex ratio 1.2). Rectal cancer was the main indication (68.1%). Abdominoperineal resection was the most frequent procedure (46.2%). Overall morbidity was 9.6% and mortality 6.5%. Conclusion: Rectal surgery in Douala is dominated by advanced malignant disease with a high rate of radical procedures.

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