RESUMO
The authors relate 44 cases of cholelithiasis, operated on between 1986 and 1990 at the General and digestive Surgery Unit of the National Hospital Center YALGADO OUEDRAOGO of Ouagadougou. They established a progressive increase in the frequency of this affection thanks to the echographic diagnosis. The patients average age is 35 years old and paradoxically, the sex-ratio is for men. It is about lithiasis with some predominant pigment constituent, located in the vesicule area in 98% of the cases, associated in 18% with a localization in the common bile duct. The clinical symptomology is atypic. But the complicated forms with acute cholelithiasis, or with a big cholostasis liver and dilatation of the common bile duct, are not rare. The preoperative cholangiography is not used. All this resulting in frequent surgical procedures on the common bile duct. Anyway, the therapeutic results are satisfactory: the surgery death rate is 2.27% and there are few complications.