title: Complications in laparoscopic renal surgery. Five year experience.
abstract: OBJECTIVE
  Retroperitoneal laparoscopic surgery has been applied in many centers as the first therapeutic option in an ever increasing number of cases. We analyze the complications seen in our 5 years of experience in laparoscopic renal surgery.
  
  
  METHODS
  We retrospectively analyze intraoperative and postoperative complications that occurred in the laparoscopic renal procedures carried out between June 2004 and November 2009. We also study several demographic factors that may play a role in the cause of the complications.
  
  
  RESULTS
  A total of 404 laparoscopic procedures that meet these characteristics were performed with a total of 98 medical and surgical complications (24.2%). Death rate was 0.6, conversion to open surgery occurred in 8 patients (1.9%) and postoperative surgical revision was required on 4 patients (0.99%). The most common intraoperative complication was bleeding (6.4%) and the most common postoperative complication was deterioration of renal function (6.4%). Nephroureterectomy was the procedure with the highest complication rate.
  
  
  CONCLUSIONS
  Analysis of the complications of a surgical technique is fundamental and a consensus on the definition of such complications must be reached in order for the study to be as complete and critical as possible.
authors.affiliation: Department of Urology, Hospital Universitario La Paz, Madrid, Spain. aaguilera11@yahoo.es
authors.forename: Alfredo
authors.initials: A
authors.lastname: Aguilera Bazan
authors.forename: Jesús
authors.initials: J
authors.lastname: Díaz
authors.forename: Javier
authors.initials: J
authors.lastname: Reinoso
authors.forename: Sonia
authors.initials: S
authors.lastname: Pérez
authors.forename: Jesús
authors.initials: J
authors.lastname: Cisneros
authors.forename: Javier
authors.initials: J
authors.lastname: De la Peña
mesh_terms: D000328:Adult; D000368:Aged; D016063:Blood Loss, Surgical; D015992:Body Mass Index; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000453:epidemiology / Q000628:therapy; D007668:Kidney / Q000601:surgery*; D010535:Laparoscopy / Q000009:adverse effects* / Q000401:mortality; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy; D011183:Postoperative Complications / Q000453:epidemiology / Q000628:therapy; D012086:Reoperation; D012189:Retrospective Studies; D013520:Urologic Surgical Procedures / Q000009:adverse effects* / Q000401:mortality