Evaluation of the complications in transperitoneal laparoscopic renal and adrenal surgery with Clavien-Dindo classification.
OBJECTIVE
To evaluate our complications in renal and adrenal transperitoneal laparoscopic surgeries with Clavien-Dindo classification.


METHODS
Two hundred and eight patients to whom renal and adrenal laparoscopic surgeries were performed between January 2008 and June 2015 were included the study. One hundred and twenty one (58.2%) patients were female and 87 (41.8%) of them were male. Laparoscopic procedures were performed as radical nephrectomy (n=49; 23.6%), simple nephrectomy (n=56; 26.9%), and partial nephrectomy (n=7; 3.4%), renal cyst decortication (n=27; 13%), pyelopasty (n=14; 6.7%) and adrenalectomy (n=55; 26.4%). Complications were classified according to Clavien-Dindo classification.


RESULTS
The mean age of the patients was 48.01±14.9 years. The mean duration of hospital stay was 3.5±1.9 days. According to European Scoring System for Laparoscopic Operations the procedures were graded based on procedural difficulty as simple (n=27; 12.9%), difficult (n=172; 82.8%), and highly difficult (n=9; 4.3%). Complications were observed in 13 (6.3%) interventions. One of these occurred during very hard and 14 during difficult procedures. According to Clavien-Dindo Classification; Grades 1, 2, and 3 A complications developed in 3 (1.4%), 9 (4.3%), and 1(0.5%) patient, respectively.


CONCLUSIONS
Laparoscopic surgery is an efficient procedure in well-chosen patients for renal and adrenal diseases with low complication rates.
Clinic of Urology, Ministry of Health Ankara Numune Training and Research Hospital, Ankara, Turkey.
Melih
M
Balcı
Clinic of Urology, Ministry of Health Ankara Numune Training and Research Hospital, Ankara, Turkey.
Altuğ
A
Tuncel
Clinic of Urology, Ministry of Health Ankara Numune Training and Research Hospital, Ankara, Turkey.
Özer
Ö
Güzel
Clinic of Urology, Ministry of Health Ankara Numune Training and Research Hospital, Ankara, Turkey.
Yılmaz
Y
Aslan
Clinic of Urology, Ministry of Health Ankara Numune Training and Research Hospital, Ankara, Turkey.
Tanju
T
Keten
Clinic of Urology, Ministry of Health Ankara Numune Training and Research Hospital, Ankara, Turkey.
Ersin
E
Köseoğlu
Clinic of Urology, Ministry of Health Ankara Numune Training and Research Hospital, Ankara, Turkey.
Anıl
A
Erkan
Department of Urology, Gazi University School of Medicine, Ankara, Turkey.
Ali
A
Atan
Adrenal; complication; kidney; laparoscopy