Author/Authors :
başataç, cem kars harakani devlet hastanesi - üroloji kliniği, Türkiye , çiçek, mehmet çağatay kars harakani devlet hastanesi - üroloji kliniği, Türkiye
Abstract :
Aim: We aim to evaluate operative and early postoperative outcomes of laparoscopic urologic procedures performed at our secondary healthcare center. Materials and Methods: Between January 2014 and January 2015, the results of nine laparoscopic procedures were analyzed. Demographics of patients, mean operation time, estimated blood loss, drain removal time and length of hospital stay were evaluated retrospectively. Intraoperative and early postoperative complications were determined according to modified Clavien Classification System. Statistical analysis was done using with SPSS v.20 (IBM, Armonk, NY, USA) database. Results: The mean age was 45±8 years. The mean body mass index was 28±3 and ASA score (American Society of Anesthesiologists) was 1.3. Of all patients, the mean operation time was 118±56 min and estimated blood loss was 50 mL. The mean drain removal time and length of hospital stay were 1.3±1 and 2.1±1.2, respectively. No intraoperative complication was occured. However, anastomotic leakage which caused prolong drainage was observed in patient who underwent laparoscopic pyelolithotomy. No evidence of recurrence was observed in any patient at a mean of 8.8 month follow up. Conclusion: Laparoscopic surgery with its acceptable outcomes in terms of operation time, estimated blood loss and length of stay is a minimally invasive alternative to traditional open surgery. In addition, it can safely be performed in our country at present even in secondary healthcare center where the surgeon expertise and laparoscopic equipment are available.
NaturalLanguageKeyword :
Experience , complication , laparoscopy , learning curve