Tufan ÇİÇEK, Erhan ŞEN, Murat GÖNEN, Umut GÖNÜLALAN, Murat KOŞAN, Bülent ÖZTÜRK

Laparoskopik Transperitoneal Basit Nefrektomi: Tek Merkez Deneyimi

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

Anahtar Kelimeler:

komplikasyon; laparoskopik nefrektomi; transperitoneal, ürolojik laparoskopi

Transpaeritoneal Laparoscopic Simple Nephrectomy: A Single Center Experience

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

Keywords:

complications; laparoscopic nephrectomy; transperitoneal; urological laparoscopy,

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