Altın, Selçuk Diyarbakır Gazi Yasargil Training and Research Hospital - Department of Urology, Turkey , Topaktaş, Ramazan Diyarbakır Gazi Yasargil Training and Research Hospital - Department of Urology, Turkey , Akkoç, Ali Diyarbakır Gazi Yasargil Training and Research Hospital - Department of Urology, Turkey , Aydın, Cemil Diyarbakır Gazi Yasargil Training and Research Hospital - Department of Urology, Turkey , Girgin, Reha Diyarbakır Gazi Yasargil Training and Research Hospital - Department of Urology, Turkey , Aydın, Zeynep Banu Diyarbakır Gazi Yasargil Training and Research Hospital - Department of Radiology, Turkey , Yıldırım, Kadir Silvan Dr Yusuf Azizoglu State Hospital - Department of Urology, Turkey

Our Initial Experiences with Laparoscopic Urologic Surgery

27309

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.

43

Laparoscopy , initial experiences , retrospective

Dicle Medical Journal

49