Complications of Urologic Laparoscopic Surgery: A Single Institute Experience of 1017 Procedures
Complications of Urologic Laparoscopic Surgery: A Single Institute Experience of 1017 Procedures
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DOI：
10.1089/end.2009.0322
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发表时间：
2010-02-01
影响因子：
2.7
通讯作者：
Matsuda, Tadashi
中科院分区：
文献类型：
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作者：
Takaaki, Inoue;Kinoshita, Hidefumi;Matsuda, Tadashi
目的：我们评估了我们机构泌尿外科腹腔镜手术的并发症。 患者和方法：从 1991 年 12 月至 2009 年 1 月，关西医科大学进行了 1017 例泌尿外科腹腔镜手术，其中根治性前列腺切除术 277 例，供体肾切除术 13 例，部分肾切除术 74 例，根治性肾切除术 158 例，根治性肾切除术 55 例。 肾盂成形术、97 例肾输尿管切除术、54 例单纯肾切除术、128 例肾上腺切除术、34 例精索静脉切除术和 127 例其他手术。对每次手术的医疗记录进行回顾性评估。每个程序的难度根据欧洲评分系统（ESS）进行分类。术中和术后并发症分别按照Satava和Clavien分类进行分级。结果：1017例腹腔镜手术中，123例患者发生148例并发症，总并发症发生率为14.6%。 20 名患者 (1.9%) 转为开放手术。根据 ESS 的数据，肾输尿管切除术的并发症发生率最高，为 23.7%，明显高于被归类为“困难”组的其他手术（P
Purpose: We evaluated complications of urologic laparoscopic surgery at our institution.Patients and Methods: From December 1991 to January 2009, 1017 urologic laparoscopic surgical procedures were performed in Kansai Medical University, including 277 radical prostatectomies, 13 donor nephrectomies, 74 partial nephrectomies, 158 radical nephrectomies, 55 pyeloplasties, 97 nephrouretectomies, 54 simple nephrectomies, 128 adrenalectomies, 34 varicocelectomies, and 127 other procedures. Medical records of each procedure were retrospectively evaluated. The difficulty of each procedure was classified according to the European Scoring System (ESS). Intraoperative and postoperative complications were graded according to the Satava and Clavien classifications, respectively.Results: Among the 1017 laparoscopic procedures, 148 complications occurred in 123 patients, resulting in a total complication rate of 14.6%. Conversion to open surgery occurred in 20 (1.9%) patients. Nephrouretectomy had the highest incidence of complications at 23.7%, which was significantly higher than that of other procedures classified as "difficult'' group, according to the ESS (P