Year 2021, Volume 7 , Issue 4, Pages 363 - 367 2021-07-04

Objectives: Since the introduction of laparoscopic nephrectomies, laparoscopic surgeries in the field of urology have become increasingly popular. Laparoscopic surgery has its advantages but carries the risk of complications like all interventions. In our study, we aimed to discuss our complication rates according to difficulty level by presenting our experiences with urological laparoscopic procedures for the upper urinary system.

Methods: This retrospective study includes 942 laparoscopic urological procedures performed by a single surgeon. The procedures divided into three groups according to the European Scoring System (ESS) Classification. The complication rate of each group was calculated separately.

Results: A total of 127 (13.4%) complications were observed. Partial nephrectomy, nephroureterectomy and ureterolithotomy had the highest complication rates. Renal cyst excision, simple nephrectomy and radical nephrectomy had the lowest complication rates. According to the Clavien Complication Classification, the distributions of Grade 1, 2 and 3 complications were 29.1% (n =37), 57.4% (n = 73) and 13.3% (n = 17); respectively. The open conversion rate was 0.84%. When procedures were classified as “easy”, “difficult” and “very difficult” according to the ESS classification; complication rates were found 7.3% in the easy group, 13.3% in the difficult group and 16.6% in the very difficult group. There was no significant difference between the three groups in terms of complication rates (p = 0.329).

Conclusions: Performing easier operations according to ESS in the first years of the learning curve is beneficial in preventing complications. With increasing experience, more complicated procedures can be performed with similar complication rates.

Laparoscopy, urology, intraoperative complications, postoperative complications
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Primary Language en
Subjects Urology ve Nephrology
Journal Section Original Articles
Authors

Orcid: 0000-0003-1490-3756
Author: Mithat EKŞİ
Institution: Department of Urology, Arnavutköy State Hospital, İstanbul, Turkey
Country: Turkey


Orcid: 0000-0002-0903-320X
Author: Selçuk ŞAHİN
Institution: Department of Urology, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey
Country: Turkey


Orcid: 0000-0003-3974-187X
Author: Nevzat ŞENER
Institution: Department of Urology, Adana City Training and Research Hospital, Adana, Turkey
Country: Turkey


Orcid: 0000-0003-4449-9037
Author: Kamil Gökhan ŞEKER
Institution: Department of Urology, Muş State Hospital, Muş, Turkey
Country: Turkey


Orcid: 0000-0003-4008-8038
Author: İsmail EVREN
Institution: Department of Urology, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey
Country: Turkey


Orcid: 0000-0002-1420-4536
Author: Serdar KARADAĞ
Institution: Department of Urology, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey
Country: Turkey


Orcid: 0000-0002-1561-895X
Author: Abdullah Hızır YAVUZSAN
Institution: Department of Urology, Şişli Hamidiye Etfal Training and Research Hospital, İstanbul, Turkey
Country: Turkey


Orcid: 0000-0003-2435-5482
Author: Deniz Noyan ÖZLÜ (Primary Author)
Institution: Department of Urology, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey
Country: Turkey


Orcid: 0000-0002-4136-7584
Author: Volkan TUĞCU
Institution: Department of Urology, Memorial Bahçelievler Hospital, İstanbul, Turkey
Country: Turkey


Dates

Application Date : August 15, 2020
Acceptance Date : January 16, 2021
Publication Date : July 4, 2021

EndNote %0 The European Research Journal Complications of upper urinary system laparoscopic surgery: a single center experience with 942 cases %A Mithat Ekşi , Selçuk Şahin , Nevzat Şener , Kamil Gökhan Şeker , İsmail Evren , Serdar Karadağ , Abdullah Hızır Yavuzsan , Deniz Noyan Özlü , Volkan Tuğcu %T Complications of upper urinary system laparoscopic surgery: a single center experience with 942 cases %D 2021 %J The European Research Journal %P -2149-3189 %V 7 %N 4 %R doi: 10.18621/eurj.780801 %U 10.18621/eurj.780801