Devlet hastanesi ilk 1 yıllık laparoskopik cerrahi deneyimimiz: 99 olgu
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Dosyalar
Tarih
2015
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
İnönü Üniversitesi Tıp Fakültesi Dergisi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Osmaniye Devlet Hastanesi’nde son bir yılda gerçekleştirilen ürolojik laparoskopik girişimlerin sonuçlarının sunmaktır.
Gereç ve Yöntemler: Mayıs 2013 ile Mayıs 2014 tarihleri arasında kliniğimizde laparoskopik cerrahi uygulanan 99 olgu retrospektif olarak değerlendirilmiştir.
Bulgular: Laparoskopik cerrahi yapılan hastaların 58’i erkek, 42’si kadın olup üçü pediatrik olan hastaların ortalama yaşı 47.2 (2-76) yıldır. Tüm hastalara transperitoneoskopik laparoskopi uygulandı. Hastaların 50’sine basit nefrektomi, 11’ine renal kist eksizyonu , 10’una radikal nefrektomi , ikisi pediatrik olan 10 olguya dismembered pyeloplasti, 5’ine üreterolitotomi, 3’üne sürrenalektomi, biri situs inversus totalis olan 3 olguya nefroüreterektomi ve mesaneden cuff eksizyonu, 2’sine parsiyel nefrektomi, 2’sine piyelolitotomi, 2’sine orşiopeksi, 1’ine heminefrektomi uygulandı. Hiçbir olguda intraoperatif komplikasyonla karşılaşılmamış ve açık cerrahiye ihtiyaç duyulmamıştır. Bir olguda peroperatif üç hastada postoperatif kan transfüzyonuna ihtiyaç duyulmuştur. Dört olguda yara yeri enfeksiyonu, iki olguda subileus ve bir olguda insizyonel herni gelişmiştir. Ameliyat sonrası ortalama hastanede yatış süresi ise 2,26 (1-4) gündür.
Sonuç: Laparoskopik girişimlerin ürolojide gün geçtikçe endikasyon alanı ve popülaritesi artmaktadır. Laparoskopik operasyonlar açık tekniğe göre daha kısa süre hastanede yatış, daha az ağrı ve yüksek hasta memnuniyeti nedeniyle günümüzde kullanım sıklığı artmıştır. Laparoskopik cerrahi perifer devlet hastanelerinde de gerekli deneyim ile güvenli ve uygulanabilir bir tekniktir.
Aim: To present the experiences and results of laparoscopic surgeries we conducted in a year’s time in our clinic. Materials and Methods: A retrospective review of ninety-nine patients who underwent laparoscopic urological surgery between May 2013 and May 2014. Results: There were fifty-eight males and forty-two females in our study. Three of patients were pediatric. Transperitoneal approach was used for 99 patients. Mean age of all patients was 47.2 (2-76) years. The operation type and total numbers undergoing the operation were as follows: simple nephrectomy: 50; renal cyst excision: 11; radical nephrectomy: 10; dismemberred pyeloplasty: 10; ureterolithotomy: 5; adrenalectomy: 3; orchiectomy: 1; orchiopexy: 1; nefroureterectomy with partial cystectomy: 3 (one of these patients was situs inversus totalis); partial nephrectomy: 2; and pyelolithotomy and hemi-nephrectomy 1. No intraoperative complications were experienced and we did not need to switch to open surgery in any of the cases. In three patients preoperatively and in one patient postoperatively blood transfusion was required. Superficial wound infection and dehiscence developed in 4 patients while two patients developed subileus and one incisional hernia. The mean postoperative hospitalization duration was 2.26 (1-4) days. Conclusion: Indication areas and popularity of the laparoscopic procedures in urology are increasing every day. Today, laparoscopic operations have increased frequency compared to open surgery due to shorter hospital stay, less pain, and high patient satisfaction. Laparoscopic surgery is a safe and feasible technique but it requires necessary experience in peripheral state hospitals.
Aim: To present the experiences and results of laparoscopic surgeries we conducted in a year’s time in our clinic. Materials and Methods: A retrospective review of ninety-nine patients who underwent laparoscopic urological surgery between May 2013 and May 2014. Results: There were fifty-eight males and forty-two females in our study. Three of patients were pediatric. Transperitoneal approach was used for 99 patients. Mean age of all patients was 47.2 (2-76) years. The operation type and total numbers undergoing the operation were as follows: simple nephrectomy: 50; renal cyst excision: 11; radical nephrectomy: 10; dismemberred pyeloplasty: 10; ureterolithotomy: 5; adrenalectomy: 3; orchiectomy: 1; orchiopexy: 1; nefroureterectomy with partial cystectomy: 3 (one of these patients was situs inversus totalis); partial nephrectomy: 2; and pyelolithotomy and hemi-nephrectomy 1. No intraoperative complications were experienced and we did not need to switch to open surgery in any of the cases. In three patients preoperatively and in one patient postoperatively blood transfusion was required. Superficial wound infection and dehiscence developed in 4 patients while two patients developed subileus and one incisional hernia. The mean postoperative hospitalization duration was 2.26 (1-4) days. Conclusion: Indication areas and popularity of the laparoscopic procedures in urology are increasing every day. Today, laparoscopic operations have increased frequency compared to open surgery due to shorter hospital stay, less pain, and high patient satisfaction. Laparoscopic surgery is a safe and feasible technique but it requires necessary experience in peripheral state hospitals.
Açıklama
[Turgut Özal Tıp Merkezi Dergisi, (2015).23 (4)]
Anahtar Kelimeler
Laparoskopi, Nefrektomi, Pyeloplasti, Sürrenalektomi, Laparoscopy, Nephrectomy, Pyeloplasty, Adrenalectomy
Kaynak
Turgut Özal Tıp Merkezi Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
23
Sayı
4
Künye
Çelik, H.,Karazindiyanoğlu, S.,Gökcen, K., Kobaner, M.,(2015).Devlet hastanesi ilk 1 yıllık laparoskopik cerrahi deneyimimiz: 99 olgu.Turgut Özal Tıp Merkezi Dergisi, 23 (4).235-238 ss.
