Our Initial Experiences with Laparoscopic Urologic Surgery

Amaç: Kliniğimizde gerçekleştirilen ürolojik laparoskopik cerrahi olguların sonuçları ve komplikasyonlarını geriye dönük olarak değerlendirmek. Yöntemler: Ocak 2012 - Ocak 2015 tarihleri arasında la- paroskopik operasyon geçiren toplam 115 hasta geriye dönük incelendi. Hastaların demografik özellikleri, preo- peratif tanıları, laparoskopik yaklaşım şekli, ameliyat ve yatış süreleri, cerrahi işlem esnasında ve sonrasında ge- lişen 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 transperito- neal, 47 olguda ise retroperitoneal girişim uygulandı. Top- lam 29 hastaya basit böbrek kisti eksizyonu, 25 hastaya basit nefrektomi, 22 hastaya üreterolitotomi, 19 hastaya radikal nefrektomi, 15 hastaya piyelolitotomi ve 5 has- taya da piyeloplasti yapıldı. Toplam 115 vakanın 4’ünde (%3,4) açık operasyona geçildi. Bu hastalar dışında ma- jör komplikasyon ve mortalite görülmedi. En sık yapılan ameliyatların ortalama süreleri ise; böbrek kist eksizyonu 62 (50-110) dk, basit nefrektomi 125 (95-140) dk, üretero- litotomi 108 (90-130) dk, radikal nefrektomi 141 (105-175) dk, piyelolitotomi 116 (95-140) dk ve pyeloplasti 166 (150- 190) dk idi. Ortalama yatış süresi 3,7±2,8 gün (2-11) idi. Sonuç: Uyguladığımız laparoskopik cerrahilerin sonuç- ları, başarı ve komplikasyon oranları literatürle uyumlu bulundu. Laparoskopik cerrahi, teknolojinin gelişmesi, de- neyimlerin artmasıyla ayrıca hastalar tarafından daha iyi tolere edilmesi nedeniyle açık cerrahiye alternatif, güvenli ve minimal invaziv bir tedavi yöntemi olduğunu düşün- mekteyiz

Laparoskopik Ürolojik Cerrahi Başlangıç Deneyimlerimiz

Objective: Retrospectively, to evaluate outcomes and complications of urological laparoscopic surgery cases performed in our clinic. Methods: A total of 115 patients who received laparo- scopic surgery between January 2012 and January 2015 were retrospectively evaluated. Included patients were assessed in terms of demographic characteristics, pre- operative diagnosis, type of laparoscopic approach, dura- tion 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 re- ceived retroperitoneal procedures. While 29 patients re- ceived 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 mortal- ity 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, rad- ical 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 con- sistent 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 pa- tients, we believe that laparoscopic surgery is a minimally invasive method that is a safe alternative to open surgery.

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Dicle Tıp Dergisi-Cover
  • ISSN: 1300-2945
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 1963
  • Yayıncı: Cahfer GÜLOĞLU
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