Özet:

Purpose: The study of the complications developed in the 396 laparoscopic urological initiative we applied in our clinic between 2005-2009 and the classification by the Clavien classification system. Tools and Methods: 396 complications that develop after laparoscopic surgery applied between 2005 and 2009 were studied retrospectively. Our study includes patients with radical and simple nefrectomy (188), partial nefrectomy (29), pyeloplasty (78), sakrocolpopexy (16) and radical prostatectomy (85). The number of patients, the operations carried out, the age of the patient, the American Society of Anesthesiologists (ASA) score and the occurring complications were classified by the Clavien system. The statistical review used Fisher's exact and chi-square tests. Results: In total, 75 patients developed complications and the total complications rate was 18.9%. In patients groups, laparoscopic radical and simple nefrectomide were diagnosed with complications of 11.1%, laparoscopic partial nefrectomide of 37.9%, laparoscopic pyeloplasty of 15.3%, laparoscopic sakrocolpopeksy of 18.7%, and laparoscopic radical prostatectomide of 32.9%. When classified by the Clavien system, the complication rates were determined for degrees 1, 2, 3, 4, 5 respectively as 11.6%, 13.8%, 1.2, 1.0% respectively. There is no statistically meaningful relationship between the pre-operative ASA score and developing complications (p=0.02; Fisher's exact test). Results: Our study will help in comparing the developing complications resulting from laparoscopic urological trials with other centers.

Anahtar Kelimeler: