MUTLU ATEŞ, MUSTAFA KARALAR, İbrahim KELEŞ, YİĞİT AKIN, Cemil AY, Ahmet Ömer HALAT

Böbrek patolojilerinde açık ve laparoskopik cerrahi tecrübelerimizin karşılaştırılması

Amaç: Bu çalışmanın amacı, son 11 yıl içerisinde açık ve laparoskopik cerrahi yöntemlerle uyguladığımız böbrek cerrahisi sonuçlarımızı değerlendirmektir. Gereç ve Yöntemler: Kliniğimizde son 11 yıl içerisinde toplam 150 hastaya böbrek cerrahisi uygulandı. Hasta verileri geriye dönük olarak değerlendirildi. Kayıtlarına ulaşılabilen ve düzenli takipleri olan toplam 140 hasta çalışmaya alındı. Çalışmamızda açık cerrahi yöntemle;basit, radikal ve parsiyel nefrektomi yapılan toplam 80 hasta Grup 1 , laparoskopik yöntemle; basit, radikal ve parsiyel böbrek cerrahisi uygulanan 60 hasta Grup 2 mevcuttu. Hastaların operasyon öncesi verileri olarak; demografik verileri, ek hastalıkları, geçirilen operasyonları, operasyon verileri olarak; operasyon süresi, kanama miktarı,operasyon sonrası verileri olarak;sonda,dren ve hastanede kalış süreleri karşılaştırıldı. Ek olarak patoloji sonuçları ve operasyon sonrası komplikasyonlar modifiye Clavien sınıflamasına göre değerlendirildi. İstatistiki anlamlı p değeri p

Anahtar Kelimeler:

Böbrek, cerrahi teknikler, laparoskopi

Comparison of laparoscopic and open surgical techniques in kidney pathologies

Objective: Herein, we evaluated surgical resultsof open and laparoscopic kidney surgery during last 11 years, in our clinic. Materials and Methods: During 11 years time period, 150 patients underwent kidney surgery. We evaluated patients’ data retrospectively. One hundred and fourty patients who were followed-up regulary with full data enrolled. Out of our study groups, simple nephrectomies, radical nephrectomies and partial nephrectomies were performed by open technique in 80 patients Group 1 and by laparoscopic technique in 60 patients Group 2 . Demograpihic data, co-morbidites, previous operations were recorded as pre-operative data, operation time, estimated blood loss, blood transfusion rate were recorded as operative data, urethral catherization, drainage catheterization and hospital stay were recorded as post operative data. Additionally, pathology reports and complications which was classified according to modified Clavien classifications were recorded. Statistical significant p value was accepted as p

Keywords:

Kidney, laparoscopy, surgical techniques,

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