Oncological and functional outcomes of 244 laparoscopic urological procedures: Cumhuriyet University experience
Journal Title: Cumhuriyet Medical Journal - Year 2018, Vol 40, Issue 1
Abstract
Objective: Presenting short-term oncological and functional outcomes of laparoscopic procedures performed in the past two years in the Urology Department of Cumhuriyet University Health Services Training and Research Hospital. Method: Clinical data of a total of 244 patients, including 13 pediatric patients, who underwent laparoscopic surgery between May 2015 and February 2018 were evaluated retrospectively. Results: Of the patients who underwent laparoscopic surgery, 139 (57%) were male and 105 (43%) were female, 13 (5%) were pediatric and the mean age of the patients was 52.6 ± 17.6 (1-83). Radical nephrectomy was performed in 47 patients, radical prostatectomy was performed in 46 patients, simple nephrectomy was performed in 37 patients, renal cyst excision was performed in 35 patients, partial nephrectomy was performed in 26 patients, dismembered pyeloplasty was performed in 25 patients 13 of whom were pediatric, adrenalectomy was performed in 15 patients, ureterolithotomy was performed in 8 patients, pyelolithotomy was performed in 2 patients, sacrocolpopexy was performed in 2 patients, and due to undescended testicle diagnosis, laparoscopy was performed in 1 patient. The mean duration of operation was 101.9 ± 62.7 (20-270) minutes and the mean amount of bleeding was found as 154.3 ± 138.7 (5-800) ml. Transperitoneal approach was preferred in all other cases except extraperitoneal radical prostatectomy. Blood transfusion was required in twenty-six cases, fourteen of which were laparoscopic radical prostatectomy in perioperative and / or postoperative periods. There was no need for initiating intraoperative open surgery except one case. In one case, laparotomy was required due to bleeding on the 4th postoperative day. In six cases, superficial wound site infection developed. The mean duration of postoperative hospitalization was 3.8 ± 2.7 days (1-8 days). The mean follow-up period of our patients was 16.5 (0-33) months. Conclusions: Laparoscopic urological surgeries are frequently preferred as minimally invasive procedures being technically well-defined, with good oncological and functional outcomes, as well as with short hospitalization periods and cosmetic advantages.
Authors and Affiliations
Kaan Gökçen, Emre Kıraç, Resul Çiçek, Gökhan Gökçe
Keywords
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