LAPAROSCOPIC UROLOGICAL SURGERY - PERIOPERATIVE EXPERIENCES OF INITIAL 100 CASES

Objective: Retrospective review and evaluation of the perioperative experiences, complications and outcomes of initial 100 cases of different urological surgery performed by laparoscopic procedure. Methods: From January 2016 to July 2019, a total of 100 patients underwent different laparoscopic urological surgery and were evaluated retrospectively. All patients were assessed by demographic variables, diagnosis, surgical procedure, approach of laparoscopy, operation time, hospital stay, complications during and after surgery and conversion to open surgery as well as observations in every step of surgery and perioperative period. RESULTS: 72 patients were male and 28 were female. The median age (range) was 36 (12-64) years. All patients underwent transperitoneal approach. Among them most of the cases were pyeloplasty 26% (n=26) followed by ureterolithotomy 19% (n=19) and radical cystectomy 16% (n=16). Peroperatively 3 cases were converted to open procedure among them one was radical cystectomy case due to excessive bleeding from superior vesical artery and two were radical prostatectomy cases; postoperatively one case of pyeloplasty required exploration due to excessive drain output and one post radical cystectomy patient required cutaneous ureterostomy for urinary leakage due to necrosis of distal few cm of left ureter. Conclusion: Laparoscopic urological surgery is a safe alternative to open surgery in experienced hand. However, in the field of urooncolgy, oncological outcomes yet to be determined in comparison to open surgery.