Özet:

Objective: The results and complications of the simple and radical nephrectomies that were performed laparoscopically in the clinic between January 2007 and November 2014, were evaluated retrospectively.Materials and Methods: 361 laparoscopic nephrectomy series were performed between January 2007 and November 2014. Of 144 patients with renal masses and of 217 patients with nonfunctional kidney, the laparoscopic nephrectomy was performed. Transabdominal laparoscopic surgery which has been performed into 273 cases and retroperitoneal laparoscopic surgery which has also been performed into 88 cases, was implemented on the right nephrectomies of 179 cases and on the left nephrectomies of 182 cases.Results: 244 were male and 117 were female, mean age 45.15 ± 24.3 20 to 72 years of 361 patients. The average operative time was 135.3 ± 47.7 attempts of transabdominal minutes and the mean operative time was 141.6 ± 46.6 attempts of retroperitoneal minutes. The average length of hospital stay 4.3 ± 2.1 days. Intraoperative and postoperative period mean 0.1 ± 0.02 units of packed red cells were used. 93 radical nephrectomy clear cell carcinomas, 21 papillary cell carcinoma, 18 chromophobe renal cell carcinoma, 8 oncocytoma, Multilocular cystic renal cell carcinoma 3 of them, one of them came as metanephric adenoma. It was reported pathologically 177 Sonuç: Laparoskopik girişimler düşük morbidite ve komplikasyon oranları, kısa hastanede kalış süresi ile tercih sebebidir. Transperitoneal yaklaşım retroperitoneal yaklaşıma göre geniş çalışma sahası sağlamaktadır. Renal vasküler yapılar transperitoneal yaklaşımda daha kolay disseke edilebilir. Retroperitoneal yaklaşımda böbreğe ulaşmak daha kolay fakat renal vasküler disseksiyon daha zor olmaktadır. Hangi yaklaşımın kullanılacağı cerrahın tercihine bağlı olarak değişebilir

Anahtar Kelimeler: