Objective: To retrospectively analyses the initial cases undergoing laparoscopic surgery in Batmanregional state hospital, department of urology.
Material and Methods: Between January 2013 and December 2013, total of 21 patients (14 male, 7 female) underwent various laparoscopic surgery by the same urologist in our department. Mean age was 47,5 ± 14,3 (12-71) years, 16 of the patients with nonfunctional kidney, 3 of the pati-ents with renal cyst and 2 of the patients with tes-ticular exploration underwent laparoscopic sur-gery. All laparoscopic interventions were carried out with the transperitoneal approach. Operative time, blood loss, hospital stay, perioperative and postoperative complications were evaluated
Results: All procedures were performed by the same urologist. Mean trocar insertion time was 16.6 ± 3.0 (15-25) minutes and mean ope-rative time was 173.3 ± 51.8 (90-300) minutes. Open conversion was indicated in 3 cases due to renal vein injury (n=1), extreme adherent to the surrounding tissues (n=1) and technical dif-ficulties (n=1). Blood transfusion was required 1 patient. The patientswere mobilized at 1.1 ± 0.3 (1-2) days. Nonsteroid anti-inflammatory drugs wereadministered as analgesics for 2.3 ± 0.6 (1-4) days, on average. Mean hospital stay was 3.2 days (2-6 days).
Conclusions: Laparoscopic surgey is a pre-ferable methodof treatment with the better tole-ration by the patients, the shoretr hospital stay, the less postoperative pain relief and the more favourable cosmetic results. This option in our country, although often done in tertiary care centers in centers experienced in the second step we believe can be done.
Key Words: Laparoscopic surgery, transperitoneal nephrec-tomy, regional state hospital
Abstract
Objective: To retrospectively analyses the initial cases undergoing laparoscopic surgery in Batmanregional state hospital, department of urology.
Material and Methods: Between January 2013 and December 2013, total of 21 patients (14 male, 7 female) underwent various laparoscopic surgery by the same urologist in our department. Mean age was 47,5 ± 14,3 (12-71) years, 16 of the patients with nonfunctional kidney, 3 of the pati-ents with renal cyst and 2 of the patients with tes-ticular exploration underwent laparoscopic sur-gery. All laparoscopic interventions were carried out with the transperitoneal approach. Operative time, blood loss, hospital stay, perioperative and postoperative complications were evaluated
Results: All procedures were performed by the same urologist. Mean trocar insertion time was 16.6 ± 3.0 (15-25) minutes and mean ope-rative time was 173.3 ± 51.8 (90-300) minutes. Open conversion was indicated in 3 cases due to renal vein injury (n=1), extreme adherent to the surrounding tissues (n=1) and technical dif-ficulties (n=1). Blood transfusion was required 1 patient. The patientswere mobilized at 1.1 ± 0.3 (1-2) days. Nonsteroid anti-inflammatory drugs wereadministered as analgesics for 2.3 ± 0.6 (1-4) days, on average. Mean hospital stay was 3.2 days (2-6 days).
Conclusions: Laparoscopic surgey is a pre-ferable methodof treatment with the better tole-ration by the patients, the shoretr hospital stay, the less postoperative pain relief and the more favourable cosmetic results. This option in our country, although often done in tertiary care centers in centers experienced in the second step we believe can be done.
Key Words: Laparoscopic surgery, transperitoneal nephrec-tomy, regional state hospital