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2016 ; 42
(2
): 70-3
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Evaluation of the complications in transperitoneal laparoscopic renal and adrenal
surgery with Clavien-Dindo classification
#MMPMID27274890
Balc? M
; Tuncel A
; Güzel Ö
; Aslan Y
; Keten T
; Köseo?lu E
; Erkan A
; Atan A
Turk J Urol
2016[Jun]; 42
(2
): 70-3
PMID27274890
show ga
OBJECTIVE: To evaluate our complications in renal and adrenal transperitoneal
laparoscopic surgeries with Clavien-Dindo classification. MATERIAL AND METHODS:
Two hundred and eight patients to whom renal and adrenal laparoscopic surgeries
were performed between January 2008 and June 2015 were included the study. One
hundred and twenty one (58.2%) patients were female and 87 (41.8%) of them were
male. Laparoscopic procedures were performed as radical nephrectomy (n=49;
23.6%), simple nephrectomy (n=56; 26.9%), and partial nephrectomy (n=7; 3.4%),
renal cyst decortication (n=27; 13%), pyelopasty (n=14; 6.7%) and adrenalectomy
(n=55; 26.4%). Complications were classified according to Clavien-Dindo
classification. RESULTS: The mean age of the patients was 48.01±14.9 years. The
mean duration of hospital stay was 3.5±1.9 days. According to European Scoring
System for Laparoscopic Operations the procedures were graded based on procedural
difficulty as simple (n=27; 12.9%), difficult (n=172; 82.8%), and highly
difficult (n=9; 4.3%). Complications were observed in 13 (6.3%) interventions.
One of these occurred during very hard and 14 during difficult procedures.
According to Clavien-Dindo Classification; Grades 1, 2, and 3 A complications
developed in 3 (1.4%), 9 (4.3%), and 1(0.5%) patient, respectively. CONCLUSION:
Laparoscopic surgery is an efficient procedure in well-chosen patients for renal
and adrenal diseases with low complication rates.
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