Laparoscopic Transperitoneal Simple, Radical and Partial Nephrectomy: A Single Center Experience
Yıl: 2020 Cilt: 7 Sayı: 1 Sayfa Aralığı: 16 - 20 Metin Dili: İngilizce DOI: 10.4274/jus.galenos.2019.2984 İndeks Tarihi: 22-11-2020
Laparoscopic Transperitoneal Simple, Radical and Partial Nephrectomy: A Single Center Experience
Öz: Objective: To present our initial experience on laparoscopic transperitoneal nephrectomies and to report the perioperative and postoperativeoutcomes in patients with kidney tumor.Materials and Methods: We retrospectively evaluated clinical data, laboratory results and radiological findings of 40 patients who underwentlaparoscopic renal surgery performed by a single surgeon in a single center between November 2017 and May 2019. Thoracoabdominopelviccomputed tomography was performed in all patients.Results: A total of 40 patients (26 males (65%), 14 females (35%) with a median age of 58.7 years underwent laparoscopic transperitonealnephrectomy. Sixteen patients underwent laparoscopic simple nephrectomy (LSN) for nonfunctional kidney, 20 patients with solid renal tumorsunderwent laparoscopic radical nephrectomy (LRN), and four patients underwent laparoscopic partial nephrectomy (LPN) for solid renal mass. Themean operative time was 207.9±79.1, 218.9±57.5 and 175.0±75.0 minutes for LSN, LRN and LPN, respectively. The mean length of hospital stays was3.0±1.3, 2.7±0.6 and 2.7±1.5 days, respectively. Conversion to open surgery was done in 2 patients who underwent LRN and in two patients whounderwent LSN due to intraoperative bleeding and intraperitoneal adhesions, respectively. We experienced postoperative complication only in onepatient (2.5%) who underwent LSN.Conclusion: Advances in technology and surgical experience have led to an increase in laparoscopic kidney surgery even for advanced renal tumors.Serious complications may occur mainly in the early stages of the learning curve, but complication rates and operative time significantly decrease bythe surgeons’ experience. Complicated and more extensive tumors make surgeons more experienced in advanced laparoscopic treatment techniques.
Anahtar Kelime: Laparoskopik Transperitoneal Basit, Radikal ve Parsiyel Nefrektomi: Tek Merkez Klinik Tecrübemiz
Öz: Amaç: Laparoskopik transperitoneal nefrektomi konusunda ilk deneyimimizi sunmak ve böbrek tümörü olan hastalarda perioperatif ve postoperatif sonuçları bildirmek.Gereç ve Yöntem: Kasım 2017-Mayıs 2019 tarihleri arasında tek bir merkezde aynı cerrah tarafından laparoskopik böbrek cerrahisi ile ameliyat edilen 40 hastanın klinik verilerini, laboratuvar sonuçlarını ve radyolojik bulgularını retrospektif olarak değerlendirdik. Torakoabdominopelvik bilgisayarlı tomografi tüm hastalar için rutin olarak yapıldı. Bulgular: Toplam kırk hastaya (26 erkek (%65), 14 kadın (%35) ortanca yaş 58,7 yıl) laparoskopik transperitoneal nefrektomi uygulandı. Hastaların 16’sına fonksiyonel olmayan böbrek için laparoskopik basit nefrektomi (LBN) uygulandı; solid böbrek tümörü olan 20 hastaya laparoskopik radikal nefrektomi (LRN), dört hastaya da solid böbrek kitlesi için laparoskopik parsiyel nefrektomi (LPN) uygulandı. Ortalama operasyon süreleri LBN, LRN ve LPN için sırasıyla 207,9±79,1, 218,9±57,5 ve 175±75,0 dakikaydı. Ortalama hastanede kalış süresi sırasıyla 3,0±1,3, 2,7±0,6 ve 2,7±1,5 gündü. LRN uygulanan iki hastada ve LBN yapılan iki hastada, sırasıyla intraoperatif kanama ve intraperitoneal adezyonlar nedeniyle açık nefrektomiye geçildi. Postoperatif komplikasyon sadece LBN uygulanan bir hastada (%2,5) saptandı. Sonuç: Teknoloji ve cerrahi tecrübedeki gelişmeler ile laparoskopik böbrek cerrahisi ileri böbrek tümörleri için bile tercih edilen yöntem haline gelmiştir. Özellikle öğrenme eğrisinin erken aşamalarında ciddi komplikasyonlar ortaya çıkabilir, ancak komplikasyon oranları ve çalışma süreleri cerrahın tecrübesiyle önemli ölçüde azalır. Komplike ve daha büyük tümörler, ileri laparoskopik tedavi teknikleri için cerrahları daha deneyimli hale getirmektedir
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | çinar ö, Demirkıran E, BULUT E, Bolat M, AKDUMAN B, Mungan N (2020). Laparoscopic Transperitoneal Simple, Radical and Partial Nephrectomy: A Single Center Experience. , 16 - 20. 10.4274/jus.galenos.2019.2984 |
| Chicago | çinar önder,Demirkıran Engin Denizhan,BULUT ERSAN,Bolat Mustafa Suat,AKDUMAN Bülent,Mungan Necmettin Aydın Laparoscopic Transperitoneal Simple, Radical and Partial Nephrectomy: A Single Center Experience. (2020): 16 - 20. 10.4274/jus.galenos.2019.2984 |
| MLA | çinar önder,Demirkıran Engin Denizhan,BULUT ERSAN,Bolat Mustafa Suat,AKDUMAN Bülent,Mungan Necmettin Aydın Laparoscopic Transperitoneal Simple, Radical and Partial Nephrectomy: A Single Center Experience. , 2020, ss.16 - 20. 10.4274/jus.galenos.2019.2984 |
| AMA | çinar ö,Demirkıran E,BULUT E,Bolat M,AKDUMAN B,Mungan N Laparoscopic Transperitoneal Simple, Radical and Partial Nephrectomy: A Single Center Experience. . 2020; 16 - 20. 10.4274/jus.galenos.2019.2984 |
| Vancouver | çinar ö,Demirkıran E,BULUT E,Bolat M,AKDUMAN B,Mungan N Laparoscopic Transperitoneal Simple, Radical and Partial Nephrectomy: A Single Center Experience. . 2020; 16 - 20. 10.4274/jus.galenos.2019.2984 |
| IEEE | çinar ö,Demirkıran E,BULUT E,Bolat M,AKDUMAN B,Mungan N "Laparoscopic Transperitoneal Simple, Radical and Partial Nephrectomy: A Single Center Experience." , ss.16 - 20, 2020. 10.4274/jus.galenos.2019.2984 |
| ISNAD | çinar, önder vd. "Laparoscopic Transperitoneal Simple, Radical and Partial Nephrectomy: A Single Center Experience". (2020), 16-20. https://doi.org/10.4274/jus.galenos.2019.2984 |
| APA | çinar ö, Demirkıran E, BULUT E, Bolat M, AKDUMAN B, Mungan N (2020). Laparoscopic Transperitoneal Simple, Radical and Partial Nephrectomy: A Single Center Experience. Journal of Urological Surgery, 7(1), 16 - 20. 10.4274/jus.galenos.2019.2984 |
| Chicago | çinar önder,Demirkıran Engin Denizhan,BULUT ERSAN,Bolat Mustafa Suat,AKDUMAN Bülent,Mungan Necmettin Aydın Laparoscopic Transperitoneal Simple, Radical and Partial Nephrectomy: A Single Center Experience. Journal of Urological Surgery 7, no.1 (2020): 16 - 20. 10.4274/jus.galenos.2019.2984 |
| MLA | çinar önder,Demirkıran Engin Denizhan,BULUT ERSAN,Bolat Mustafa Suat,AKDUMAN Bülent,Mungan Necmettin Aydın Laparoscopic Transperitoneal Simple, Radical and Partial Nephrectomy: A Single Center Experience. Journal of Urological Surgery, vol.7, no.1, 2020, ss.16 - 20. 10.4274/jus.galenos.2019.2984 |
| AMA | çinar ö,Demirkıran E,BULUT E,Bolat M,AKDUMAN B,Mungan N Laparoscopic Transperitoneal Simple, Radical and Partial Nephrectomy: A Single Center Experience. Journal of Urological Surgery. 2020; 7(1): 16 - 20. 10.4274/jus.galenos.2019.2984 |
| Vancouver | çinar ö,Demirkıran E,BULUT E,Bolat M,AKDUMAN B,Mungan N Laparoscopic Transperitoneal Simple, Radical and Partial Nephrectomy: A Single Center Experience. Journal of Urological Surgery. 2020; 7(1): 16 - 20. 10.4274/jus.galenos.2019.2984 |
| IEEE | çinar ö,Demirkıran E,BULUT E,Bolat M,AKDUMAN B,Mungan N "Laparoscopic Transperitoneal Simple, Radical and Partial Nephrectomy: A Single Center Experience." Journal of Urological Surgery, 7, ss.16 - 20, 2020. 10.4274/jus.galenos.2019.2984 |
| ISNAD | çinar, önder vd. "Laparoscopic Transperitoneal Simple, Radical and Partial Nephrectomy: A Single Center Experience". Journal of Urological Surgery 7/1 (2020), 16-20. https://doi.org/10.4274/jus.galenos.2019.2984 |
