Our Initial Experiences with Laparoscopic Urologic Surgery

Öz

Objective: Retrospectively, to evaluate outcomes and complications of urological laparoscopic surgery cases performed in our clinic.
Methods: A total of 115 patients who received laparoscopic surgery between January 2012 and January 2015 were retrospectively evaluated. Included patients were assessed in terms of demographic characteristics, preoperative diagnosis, type of laparoscopic approach, duration of surgery and hospitalization, complications before and after surgery, and postoperative requirement for open surgery.
Results: 61 of included patients were women, 54 were male, and the mean age was 52.4±11.7 years. Sixty-eight patients underwent transperitoneal and 47 patients received retroperitoneal procedures. While 29 patients received renal cyst excision, 25 had simple nephrectomy, 22 had ureterolithotomy, 19 had radical nephrectomy, 15 had pyelolithotomy and 5 had pyeloplasty. Four (3,4%) of the 115 patients required converting to open surgery. Except these patients, no major complication or mortality was encountered. The mean duration of surgery for the most commonly applied procedures were as follows: renal cyst excision 62 (50-110) min, simple nephrectomy 125 (95-140) min, ureterolithotomy 108 (90-130) min, radical nephrectomy 141 (105-175) min, pyelolithotomy 116 (95-140) min, and pyeloplasty 166 (150-190) min. The mean hospital stay was 3.7±2.8 (2-11) days.
Conclusion: The success and complication rates of the laparoscopic surgeries performed in our clinic were consistent with those reported in the literature. In the light of technological advances and increasing experience, as well as based on the higher tolerance exhibited by patients, we believe that laparoscopic surgery is a minimally invasive method that is a safe alternative to open surgery.
Key words: Laparoscopy, initial experiences, retrospective

Anahtar Kelimeler

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Laparoskopik Ürolojik Cerrahi Başlangıç Deneyimlerimiz

Öz

Amaç: Kliniğimizde gerçekleştirilen ürolojik laparoskopik cerrahi olguların sonuçları ve komplikasyonlarını geriye dönük olarak değerlendirmek.Yöntemler: Ocak 2012 - Ocak 2015 tarihleri arasında laparoskopik operasyon geçiren toplam 115 hasta geriye dönük incelendi. Hastaların demografik özellikleri, preoperatif tanıları, laparoskopik yaklaşım şekli, ameliyat ve yatış süreleri, cerrahi işlem esnasında ve sonrasında gelişen komplikasyonlar ve açık cerrahiye geçilen hastalar açısından incelendi.Bulgular: Hastaların 61’i kadın, 54’ü erkek ve ortalama yaşları 52,4±11,7 yıl idi. Altmış sekiz olguda transperitoneal, 47 olguda ise retroperitoneal girişim uygulandı. Toplam 29 hastaya basit böbrek kisti eksizyonu, 25 hastaya basit nefrektomi, 22 hastaya üreterolitotomi, 19 hastaya radikal nefrektomi, 15 hastaya piyelolitotomi ve 5 hastaya da piyeloplasti yapıldı. Toplam 115 vakanın 4’ünde (%3,4) açık operasyona geçildi. Bu hastalar dışında majör komplikasyon ve mortalite görülmedi. En sık yapılan ameliyatların ortalama süreleri ise; böbrek kist eksizyonu 62 dk, basit nefrektomi 125 dk, üreterolitotomi 108 dk, radikal nefrektomi 141 dk, piyelolitotomi 116 dk ve pyeloplasti 166 (150190) dk idi. Ortalama yatış süresi 3,7±2,8 gün idi. Sonuç: Uyguladığımız laparoskopik cerrahilerin sonuçları, başarı ve komplikasyon oranları literatürle uyumlu bulundu. Laparoskopik cerrahi, teknolojinin gelişmesi, deneyimlerin artmasıyla ayrıca hastalar tarafından daha iyi tolere edilmesi nedeniyle açık cerrahiye alternatif, güvenli ve minimal invaziv bir tedavi yöntemi olduğunu düşünmekteyiz

Anahtar Kelimeler

• Laparoskopi, başlangıç deneyimleri, retrospektif

Kaynakça

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