Özet:

Aim: Retrospective evaluation of the first laparoscopic surgery experiences of a urology specialist working in a secondary peripheral state hospital due to public service obligation. Materials and Methods: A total of 25 patients (16 men, 9 women) underwent laparoscopic surgery in the Urology Clinic of Şanlıurfa Balıklıgöl State Hospital between April 2016 and August 2018. The demographic characteristics of the patients, the surgical site, surgical technique, operation and hospital stay, presence of postoperative analgesic needs, and perioperative and postoperative complications were recorded. Results: The mean age of the patients included in the study was 38.8 ± 11.6 years. These; simple nephrectomy (n=10, %40), kidney cyst excision (n=6, %24), ureterolithotomy (n=6, %24), radical nephrectomy (n=1, %4), pyeloplasty (n=1, %4) and testicular investigation (n=1, %4). The mean operation time was 108.8 ± 31.6 minutes and the mean hospital stay was 3.8 ± 0.9 days. Retroperitoneal approach was preferred in 6 (%24) of all cases. Complications were seen in a total of 6 (%24) patients. According to the modified Clavien Complication grading system, the distributions of Grade 1, 2, and 3 complications were four (%66.6), one (%16.6), and one (%16.6), respectively. Grade 4 and 5 complications were not observed in any of the cases. Conclusion: New specialist urologists, who receive residency training in centers experienced in laparoscopy, can apply this training and experience they have received in their clinics in peripheral state hospitals due to their state service obligation, and they can lead both in the supply of laparoscopic surgical equipment and in the training of auxiliary operating room personnel.