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Transpaeritoneal Laparoscopic Simple Nephrectomy: A Single Center Experience

Year 2014, Volume: 39 Issue: 2, 290 - 297, 22.07.2014
https://doi.org/10.17826/cutf.28190

Abstract

Purpose : In this study, we planned to evaluate the efficacy and perioperative outcomes of transperitoneal laparoscopic simple nephrectomy at Başkent University Konya Application and Research Center. Material and Method: The demographic and perioperative data of patients who underwent transperitoneal laparoscopic simple nephrectomy at Başkent University Konya Application and Research Center urology clinic between February 2005 and November 2013 were analyzed retrospectively. Operative time, perioperative laboratory results, the durations of hozpitalization and follow-up, perioperative complications and demographic characteristics of each patient were recorded. Results: Overall, 58 patients were included. 27 patients were male (46%) and 31 patients were female (54%). The mean age was 45.3 ± 17.12 (6-79). The mean operative time was 104.4 ± 36.5 (40-185) minutes. The mean hospitalization duration was 2.7 ± 0.7 (2-5) days. The mean preoperative and postoperative hemoglobin levels were 13.7 ± 1.74 and 12.4 ± 1.73 mg/dl, respectively. Postoperative hemoglobin levels were statistically significatly lower than preoperative hemoglobin levels (p

References

  • Binbay M, yazıcı Özgür, Kaba M, Berberoğlu Y, Müslümanoğlu AY, Tefekli A. Ürolojide laparoskopik girişimlerle ilgili istenmeyen yan etkiler: 313 girişimin değerlendirilmesi. Turkish Journal of Urology. 2009;35:17-22.
  • Demir Ö, Öztürk B, Eğriboyun S, Esen Ahmet. Kliniğimizde Laparoskopik Cerrahide İlk Deneyimlerimiz Ve Öğrenme Süreci. DEÜ Tıp Fakültesi Dergisi. 2010;24:105-12.
  • Erdem S, Şanlı Ö, Tefik T, Oktar T, Ortaç M, Karadeniz M, Özcan F. Retroperitoneoskopik nefrektomi obez hastalarda transperitoneal laparoskopik nefrektomşiden daha iyi perioperatif sonuçlara sahiptir. Turkish Journal of Urology. 2012;38:80-7.
  • Clayman RV, Kavoussi LR, Soper NJ, et al. Laparoscopic nephrectomy: initial case report. J Urol. 1991;146:278-82.
  • Andrei Nadu, Yoram Mor, Juza Chen, Mario Sofer, Jacob Golomb, Jacob Ramon. Laparoscopic Nephrectomy: Initial Experience in Israel with 110 Cases. IMAJ. 2005;7:431-4.
  • Geçit İ, Pirinçci N, Güneş M, Tanık S, Kerem T, Eryılmaz R, Ceylan K. Laparoskopik basit nefrektomi: İlk deneyimlerimiz. The New Journal of Urology. 2012;7:11-4.
  • Antonelli JA, Bagrodia A, Odom C, Olweny EO, Faddegon S, Cadeddu JA. Laparoscopic Single –site nephrectomy Compared with Conventional Laparoscopic nephrectomy: A 5 year, Single-surgeon Experience. Eur Urol. 2013;64:412-8.
  • Habuchi T, Terachi T, Mimata H, Kondo Y, Kanayama H, Ichikawa T, Nutahara K, Miki T, Ono Y, Baba S, Naito S, Matsuda T. Evaluation of 2,590 urological laparoscopic procedures undertaken by urological surgeons accredited by an endoscopic surgical skill qualification system in urological laparoscopy in Japan. Surg Endosc. 2012;26:1656
  • Chung JH, Lee SW, Lee KS, Cho WY, Kim TH.Safety of en bloc ligation of the renal hilum during laparoscopic radical nephrectomy for renal cell carcinoma: a randomized controlled trial. J Laparoendosc Adv Surg Tech A. 2013;23:489-94.
  • Gillan A, Alexander E, Townell N, Nabi G. Laparoscopic en bloc resection of ureter with a cuff of bladder during radical nephroureterectomy for lower ureteric tumors: a matched-paired analysis.J Laparoendosc Adv Surg Tech A. 2013;23:626-31.
  • Rassweiler J. Laparoscopic radical prostatectomy is also oncologically safe and effective! BJU Int. 2013;112:158. doi: 10.1111/bju.12185.
  • Fahlenkamp D, Rassweiler J, Fornara P, Frede T, Loening SA. Fahlenkamp D, Rasswailler J, Fornara P, Frede T, Loening SA. Complications of laparoscopic procedures in urology: experience with 2,407 procedures at 4 German centers. J Urol. 1999;162:765-70.
  • Yu-Hung Lin, hsiaso-Jen Chung, alex T.L, Yen – Hwa Chang, Wi Huang, Yen-Shen Hsu, Shyh- Chyi Chang, Kuang-Kuo Chen. Complications of Pure Transperitoneal Laparoscopic Surgery in Urology: The taipei Veterans General Hospital Experience. J Chin Med Assoc. 2007;70:481-5.
  • Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of a 6336 patients and results of a survey. Ann Surg. 2004;240:205-13.
  • Steinbrook RA, Garfield F, Batista SH, Urman RD. Caffeine fort the prevention of postoperative n aıse and vomiting. J Anesthesia Clin Pharmacol. 2013; 29: 526
  • Wıllke A, Tireli M. Postoperatif ateş. ANKEM Derg. 2009; 23: 86-88.
  • Winaikosol K, Phacherat K, Chotikawanich E. Laparoscopic simple nephrectomy: perioperative outcomes at Srinagarind Hospital. J Med Assoc Thai. 2012;95:18-24.
  • Siqueira TM Jr, Kuo RL, Gardner TA, Paterson RF, Stevens LH, Lingeman JE, Koch MO, Shalhav AL. Major complications in 213 laparoscopic nephrectomy cases: the Indianapolis experience. J Urol. 2002;168:1361-5.
  • Jha MS, Gupta N, Agrawal S, Ansari MS, Dubey D, Mandhani A, Srivastava A, Kumar A, Kapoor R. Single-centre experience of laparoscopic nephrectomy: Impact of learning curve on outcome. Indian J Urol. 2007;23:253-6.
  • Capeloutu C, Kavoussi LR. Complications of laparoscopic surgery. Urology. 1993;42:2-12.
  • Berglund RK, Gill IS, Babineau D, Desai M, Kaouk JH. A prospective comparasion of transperitoneal and retroperitoneal laparoscopic nephrectomy in the extremeley obese patient. BJU Int. 2007;99:871-4.
  • Nadler RB, Loeb S, Clamens JQ, Batler RA, Gonzalez CM, Vardi IY. A prospective study of laparoscopic radical nephrectomy for T1 tumors- is transperitoneal, retroperitoneal or hand assisted the best approach? J Urol. 2006;175:1230-3.

Laparoskopik Transperitoneal Basit Nefrektomi: Tek Merkez Deneyimi

Year 2014, Volume: 39 Issue: 2, 290 - 297, 22.07.2014
https://doi.org/10.17826/cutf.28190

Abstract

Amaç: Bu çalışmada kliniğimizde uyguladığımız transperitoneal laparoskopik basit nefrektomi ameliyatının başarısını ve oluşan komplikasyonları değerlendirmeyi amaçladık. Materyal-Metod: Şubat 2005 ve Kasım 2013 yılları arasında Başkent Üniversitesi Konya Uygulama ve Araştırma Merkezi Üroloji kliniğinde transperitoneal laparoskopik basit nefrektomi ameliyatı yapılan hastaların dosyaları retrospektif olarak incelendi. Hastaların demografik özellikleri, ameliyat süreleri, ameliyat öncesi ve sonrası laboratuvar sonuçları, hastanede kalış ve takip süreleri, cerrahi işlem esnasında ve sonrasında oluşan komplikasyonlar kayıt edildi. Bulgular: Çalışmada toplam 58 hasta vardı. Bu hastaların 27"si erkek 31"i bayandı. Yaş ortalaması 45.3 ± 17.12 (6-79) yıl olarak bulundu. Ameliyat süresi ortalama 104.4 ± 36.5 (40-185) dakika idi. Hastaların ortalama hastanede kalış süresi 2.7 ± 0.7 (2-5) gün idi. Hastaların ameliyat öncesi ve sonrası hemoglobin değeri sırası ile 13.7 ± 1.74, 12.4 ± 1.73 mg/dl olarak bulundu. Ameliyat sonrası hemoglobin düzeyi ameliyat öncesine istatiksel olarak anlamlı düşük bulundu (p

References

  • Binbay M, yazıcı Özgür, Kaba M, Berberoğlu Y, Müslümanoğlu AY, Tefekli A. Ürolojide laparoskopik girişimlerle ilgili istenmeyen yan etkiler: 313 girişimin değerlendirilmesi. Turkish Journal of Urology. 2009;35:17-22.
  • Demir Ö, Öztürk B, Eğriboyun S, Esen Ahmet. Kliniğimizde Laparoskopik Cerrahide İlk Deneyimlerimiz Ve Öğrenme Süreci. DEÜ Tıp Fakültesi Dergisi. 2010;24:105-12.
  • Erdem S, Şanlı Ö, Tefik T, Oktar T, Ortaç M, Karadeniz M, Özcan F. Retroperitoneoskopik nefrektomi obez hastalarda transperitoneal laparoskopik nefrektomşiden daha iyi perioperatif sonuçlara sahiptir. Turkish Journal of Urology. 2012;38:80-7.
  • Clayman RV, Kavoussi LR, Soper NJ, et al. Laparoscopic nephrectomy: initial case report. J Urol. 1991;146:278-82.
  • Andrei Nadu, Yoram Mor, Juza Chen, Mario Sofer, Jacob Golomb, Jacob Ramon. Laparoscopic Nephrectomy: Initial Experience in Israel with 110 Cases. IMAJ. 2005;7:431-4.
  • Geçit İ, Pirinçci N, Güneş M, Tanık S, Kerem T, Eryılmaz R, Ceylan K. Laparoskopik basit nefrektomi: İlk deneyimlerimiz. The New Journal of Urology. 2012;7:11-4.
  • Antonelli JA, Bagrodia A, Odom C, Olweny EO, Faddegon S, Cadeddu JA. Laparoscopic Single –site nephrectomy Compared with Conventional Laparoscopic nephrectomy: A 5 year, Single-surgeon Experience. Eur Urol. 2013;64:412-8.
  • Habuchi T, Terachi T, Mimata H, Kondo Y, Kanayama H, Ichikawa T, Nutahara K, Miki T, Ono Y, Baba S, Naito S, Matsuda T. Evaluation of 2,590 urological laparoscopic procedures undertaken by urological surgeons accredited by an endoscopic surgical skill qualification system in urological laparoscopy in Japan. Surg Endosc. 2012;26:1656
  • Chung JH, Lee SW, Lee KS, Cho WY, Kim TH.Safety of en bloc ligation of the renal hilum during laparoscopic radical nephrectomy for renal cell carcinoma: a randomized controlled trial. J Laparoendosc Adv Surg Tech A. 2013;23:489-94.
  • Gillan A, Alexander E, Townell N, Nabi G. Laparoscopic en bloc resection of ureter with a cuff of bladder during radical nephroureterectomy for lower ureteric tumors: a matched-paired analysis.J Laparoendosc Adv Surg Tech A. 2013;23:626-31.
  • Rassweiler J. Laparoscopic radical prostatectomy is also oncologically safe and effective! BJU Int. 2013;112:158. doi: 10.1111/bju.12185.
  • Fahlenkamp D, Rassweiler J, Fornara P, Frede T, Loening SA. Fahlenkamp D, Rasswailler J, Fornara P, Frede T, Loening SA. Complications of laparoscopic procedures in urology: experience with 2,407 procedures at 4 German centers. J Urol. 1999;162:765-70.
  • Yu-Hung Lin, hsiaso-Jen Chung, alex T.L, Yen – Hwa Chang, Wi Huang, Yen-Shen Hsu, Shyh- Chyi Chang, Kuang-Kuo Chen. Complications of Pure Transperitoneal Laparoscopic Surgery in Urology: The taipei Veterans General Hospital Experience. J Chin Med Assoc. 2007;70:481-5.
  • Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of a 6336 patients and results of a survey. Ann Surg. 2004;240:205-13.
  • Steinbrook RA, Garfield F, Batista SH, Urman RD. Caffeine fort the prevention of postoperative n aıse and vomiting. J Anesthesia Clin Pharmacol. 2013; 29: 526
  • Wıllke A, Tireli M. Postoperatif ateş. ANKEM Derg. 2009; 23: 86-88.
  • Winaikosol K, Phacherat K, Chotikawanich E. Laparoscopic simple nephrectomy: perioperative outcomes at Srinagarind Hospital. J Med Assoc Thai. 2012;95:18-24.
  • Siqueira TM Jr, Kuo RL, Gardner TA, Paterson RF, Stevens LH, Lingeman JE, Koch MO, Shalhav AL. Major complications in 213 laparoscopic nephrectomy cases: the Indianapolis experience. J Urol. 2002;168:1361-5.
  • Jha MS, Gupta N, Agrawal S, Ansari MS, Dubey D, Mandhani A, Srivastava A, Kumar A, Kapoor R. Single-centre experience of laparoscopic nephrectomy: Impact of learning curve on outcome. Indian J Urol. 2007;23:253-6.
  • Capeloutu C, Kavoussi LR. Complications of laparoscopic surgery. Urology. 1993;42:2-12.
  • Berglund RK, Gill IS, Babineau D, Desai M, Kaouk JH. A prospective comparasion of transperitoneal and retroperitoneal laparoscopic nephrectomy in the extremeley obese patient. BJU Int. 2007;99:871-4.
  • Nadler RB, Loeb S, Clamens JQ, Batler RA, Gonzalez CM, Vardi IY. A prospective study of laparoscopic radical nephrectomy for T1 tumors- is transperitoneal, retroperitoneal or hand assisted the best approach? J Urol. 2006;175:1230-3.
There are 22 citations in total.

Details

Primary Language Turkish
Journal Section Research
Authors

Tufan Çiçek This is me

Erhan Şen This is me

Murat Gönen This is me

Umut Gönülalan This is me

Murat Koşan This is me

Bülent Öztürk This is me

Publication Date July 22, 2014
Published in Issue Year 2014 Volume: 39 Issue: 2

Cite

MLA Çiçek, Tufan et al. “Laparoskopik Transperitoneal Basit Nefrektomi: Tek Merkez Deneyimi”. Cukurova Medical Journal, vol. 39, no. 2, 2014, pp. 290-7, doi:10.17826/cutf.28190.