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One-Year Experience of Urological Laparoscopic Surgery with 99 Cases in a State Hospital

Year 2015, Volume: 22 Issue: 4, 235 - 238, 14.12.2015

Abstract

Aim: To present the experiences and results of laparoscopic surgeries we conducted in a year’s time in our clinic.

Materials and Methods: A retrospective review of ninety-nine patients who underwent laparoscopic urological surgery between May 2013 and May 2014.

Results: There were fifty-eight males and forty-two females in our study. Three of patients were pediatric. Transperitoneal approach was used for 99 patients. Mean age of all patients was 47.2 (2-76) years. The operation type and total numbers undergoing the operation were as follows: simple nephrectomy: 50; renal cyst exci­sion: 11; radical nephrectomy: 10; dismemberred pyeloplasty: 10; ureterolithotomy: 5; adrenalectomy: 3; orchiectomy: 1; orchiopexy: 1; nefroureterectomy with partial cystectomy: 3 (one of these patients was situs inversus totalis); partial nephrectomy: 2; and pyelolithotomy and hemi-nephrectomy 1. No intraoperative complications were experienced and we did not need to switch to open surgery in any of the cases. In three patients preoperatively and in one patient postoperatively blood transfusion was required. Superficial wound infection and dehiscence developed in 4 patients while two patients developed subileus and one incisional hernia. The mean postoperative hospitalization duration was 2.26 (1-4) days.

Conclusion: Indication areas and popularity of the laparoscopic procedures in urology are increasing every day. Today, laparoscopic operations have increased frequency compared to open surgery due to shorter hospital stay, less pain, and high patient satisfaction. Laparoscopic surgery is a safe and feasible technique but it requires necessary experience in peripheral state hospitals.

Keywords: Laparoscopy, Nephrectomy, Pyeloplasty, Adrenalectomy.

References

  • Cortesi N, Ferrari P, Zambarda E, Manenti A, Baldini A, Morano FP. Diagnosis of bilateral abdominal cryptorchidism by laparoscopy. Endoscopy 1976:8;33-4.
  • Soygür T, Baltacı S, Yımaz E, Türkölmez K, Şafak M, Göğüş O: 50 olgudaki laparoskopik cerrahi komplikasyonlarımız. Türk Üroloji Dergisi 1999;25:1-76.
  • Gokcen K, Celik H, Kobaner M, Karazindiyanoğlu S. Laparoscopic transperitoneoscopic Nephroureterectomy in a Patient with Situs Inversus Totalis. Indian J Surg 2015;77:147-9
  • McAllister M, Bhayani SB, Ong A et al. Vena cavaltran-section during retroperitoneoscopic nephrectomy: re¬port of the complication and review of the literature. J Urol 2004;172(1):183-5.
  • Chan DY, Cadeddu JA, Jarrett TW, Marshall FF, Ka¬voussi LR. Laparoscopic radical nephrectomy: cancer control for renal cell carcinoma. J Urol 2001;166(6):2095-99.
  • Teber D, Erdogru T, Klein J, Frede T, Rassweiler J. Laparoskopik radikal nefrektomi: cerrahi sonuçlar ve uzun süreli onkolojik takip. Türk Üroloji Dergisi 2005;31(1):41-8.
  • Sanchez-de-Badajoz E, Jimenez-Garrido A, Salvi M. Transperineal laparoscopy: a new approach. J Endourol 2011;25(4):663-6.
  • Obek C. Urolojik laparoskopide komplikasyonlar ve önlenmesi. Uroonkoloji Bülteni 2005;2:3-8
  • Indebir SG: Laparoscopic radical nephrectomy for cancer. Urol Clin North Am 2000;27:707-19.
  • Rassweiler J, Tsivian A, Kumar AVR, Lymbe-rakis C, Schulze M, Seeman O, Frede T: Oncological safety of laparoscopic surgery for urological malignancy: experience with more than 1000 operations. J Urol 2003;169:2072.
  • Rassweiler JJ, Seemann O, Frede T, Henkel TO, Alken P. Retroperitoneoscopy: experience with 200 cases. J Urol 1998; 160(4):1265-9.
  • Winfield HN, Donovan JF, See WA, Loening SA and Williams RD: Urological laparoscopic surgery J Urol 1991;146:941-4.

Journal of Turgut Ozal Medical Center

Year 2015, Volume: 22 Issue: 4, 235 - 238, 14.12.2015

Abstract

Amaç: Osmaniye Devlet Hastanesi’nde son bir yılda gerçekleştirilen ürolojik laparoskopik girişimlerin sonuçlarının sunmaktır. Gereç ve Yöntemler: Mayıs 2013 ile Mayıs 2014 tarihleri arasında kliniğimizde laparoskopik cerrahi uygulanan 99 olgu retrospektif olarak değerlendirilmiştir. Bulgular: Laparoskopik cerrahi yapılan hastaların 58’i erkek, 42’si kadın olup üçü pediatrik olan hastaların ortalama yaşı 47.2 yıldır. Tüm hastalara transperitoneoskopik laparoskopi uygulandı. Hastaların 50’sine basit nefrektomi, 11’ine renal kist eksizyonu , 10’una radikal nefrektomi , ikisi pediatrik olan 10 olguya dismembered pyeloplasti, 5’ine üreterolitotomi, 3’üne sürrenalektomi, biri situs inversus totalis olan 3 olguya nefroüreterektomi ve mesaneden cuff eksizyonu, 2’sine parsiyel nefrektomi, 2’sine piyelolitotomi, 2’sine orşiopeksi, 1’ine heminefrektomi uygulandı. Hiçbir olguda intraoperatif komplikasyonla karşılaşılmamış ve açık cerrahiye ihtiyaç duyulmamıştır. Bir olguda peroperatif üç hastada postoperatif kan transfüzyonuna ihtiyaç duyulmuştur. Dört olguda yara yeri enfeksiyonu, iki olguda subileus ve bir olguda insizyonel herni gelişmiştir. Ameliyat sonrası ortalama hastanede yatış süresi ise 2,26 gündür. Sonuç: Laparoskopik girişimlerin ürolojide gün geçtikçe endikasyon alanı ve popülaritesi artmaktadır. Laparoskopik operasyonlar açık tekniğe göre daha kısa süre hastanede yatış, daha az ağrı ve yüksek hasta memnuniyeti nedeniyle günümüzde kullanım sıklığı artmıştır. Laparoskopik cerrahi perifer devlet hastanelerinde de gerekli deneyim ile güvenli ve uygulanabilir bir tekniktir

References

  • Cortesi N, Ferrari P, Zambarda E, Manenti A, Baldini A, Morano FP. Diagnosis of bilateral abdominal cryptorchidism by laparoscopy. Endoscopy 1976:8;33-4.
  • Soygür T, Baltacı S, Yımaz E, Türkölmez K, Şafak M, Göğüş O: 50 olgudaki laparoskopik cerrahi komplikasyonlarımız. Türk Üroloji Dergisi 1999;25:1-76.
  • Gokcen K, Celik H, Kobaner M, Karazindiyanoğlu S. Laparoscopic transperitoneoscopic Nephroureterectomy in a Patient with Situs Inversus Totalis. Indian J Surg 2015;77:147-9
  • McAllister M, Bhayani SB, Ong A et al. Vena cavaltran-section during retroperitoneoscopic nephrectomy: re¬port of the complication and review of the literature. J Urol 2004;172(1):183-5.
  • Chan DY, Cadeddu JA, Jarrett TW, Marshall FF, Ka¬voussi LR. Laparoscopic radical nephrectomy: cancer control for renal cell carcinoma. J Urol 2001;166(6):2095-99.
  • Teber D, Erdogru T, Klein J, Frede T, Rassweiler J. Laparoskopik radikal nefrektomi: cerrahi sonuçlar ve uzun süreli onkolojik takip. Türk Üroloji Dergisi 2005;31(1):41-8.
  • Sanchez-de-Badajoz E, Jimenez-Garrido A, Salvi M. Transperineal laparoscopy: a new approach. J Endourol 2011;25(4):663-6.
  • Obek C. Urolojik laparoskopide komplikasyonlar ve önlenmesi. Uroonkoloji Bülteni 2005;2:3-8
  • Indebir SG: Laparoscopic radical nephrectomy for cancer. Urol Clin North Am 2000;27:707-19.
  • Rassweiler J, Tsivian A, Kumar AVR, Lymbe-rakis C, Schulze M, Seeman O, Frede T: Oncological safety of laparoscopic surgery for urological malignancy: experience with more than 1000 operations. J Urol 2003;169:2072.
  • Rassweiler JJ, Seemann O, Frede T, Henkel TO, Alken P. Retroperitoneoscopy: experience with 200 cases. J Urol 1998; 160(4):1265-9.
  • Winfield HN, Donovan JF, See WA, Loening SA and Williams RD: Urological laparoscopic surgery J Urol 1991;146:941-4.
There are 12 citations in total.

Details

Primary Language Tr
Journal Section Articles
Authors

Hüseyin Çelik

Sinan Karazindiyanoglu This is me

Kağan Gokcen This is me

Murat Kobaner This is me

Publication Date December 14, 2015
Published in Issue Year 2015 Volume: 22 Issue: 4

Cite

APA Çelik, H., Karazindiyanoglu, S., Gokcen, K., Kobaner, M. (2015). One-Year Experience of Urological Laparoscopic Surgery with 99 Cases in a State Hospital. Journal of Turgut Ozal Medical Center, 22(4), 235-238.
AMA Çelik H, Karazindiyanoglu S, Gokcen K, Kobaner M. One-Year Experience of Urological Laparoscopic Surgery with 99 Cases in a State Hospital. J Turgut Ozal Med Cent. December 2015;22(4):235-238.
Chicago Çelik, Hüseyin, Sinan Karazindiyanoglu, Kağan Gokcen, and Murat Kobaner. “One-Year Experience of Urological Laparoscopic Surgery With 99 Cases in a State Hospital”. Journal of Turgut Ozal Medical Center 22, no. 4 (December 2015): 235-38.
EndNote Çelik H, Karazindiyanoglu S, Gokcen K, Kobaner M (December 1, 2015) One-Year Experience of Urological Laparoscopic Surgery with 99 Cases in a State Hospital. Journal of Turgut Ozal Medical Center 22 4 235–238.
IEEE H. Çelik, S. Karazindiyanoglu, K. Gokcen, and M. Kobaner, “One-Year Experience of Urological Laparoscopic Surgery with 99 Cases in a State Hospital”, J Turgut Ozal Med Cent, vol. 22, no. 4, pp. 235–238, 2015.
ISNAD Çelik, Hüseyin et al. “One-Year Experience of Urological Laparoscopic Surgery With 99 Cases in a State Hospital”. Journal of Turgut Ozal Medical Center 22/4 (December 2015), 235-238.
JAMA Çelik H, Karazindiyanoglu S, Gokcen K, Kobaner M. One-Year Experience of Urological Laparoscopic Surgery with 99 Cases in a State Hospital. J Turgut Ozal Med Cent. 2015;22:235–238.
MLA Çelik, Hüseyin et al. “One-Year Experience of Urological Laparoscopic Surgery With 99 Cases in a State Hospital”. Journal of Turgut Ozal Medical Center, vol. 22, no. 4, 2015, pp. 235-8.
Vancouver Çelik H, Karazindiyanoglu S, Gokcen K, Kobaner M. One-Year Experience of Urological Laparoscopic Surgery with 99 Cases in a State Hospital. J Turgut Ozal Med Cent. 2015;22(4):235-8.