LAPAROSCOPIC UROLOGIC SURGERY: INITIAL EXPERIENCES IN PADANG
##plugins.themes.bootstrap3.article.main##
##plugins.themes.bootstrap3.article.sidebar##
Abstract
Introduction: Laparoscopic surgery is increasingly prevalent in urology due to improved surgical expertise. This minimally invasive procedure, popularized in the nineteenth century, offers advantages including reduced pain, less bleeding, shorter hospital stays, and improved cosmetic results compared to open surgery. Laparoscopy has expanded to various applications, including nephrectomies, pyeloplasty, ureteral stone removal, nonpalpable testes, and adrenal surgeries. Today, most urological procedures can be performed using laparoscopy, with oncological outcomes comparable to open surgery. Objective: In this retrospective study, we assess urological laparoscopic surgery results and complications in Padang, Indonesia. Material & Methods: A retrospective evaluation was conducted on patients who underwent laparoscopic surgery in Padang, Indonesia, between September 2017 and July 2023. The assessment encompassed preoperative diagnoses, laparoscopic procedure types, operation duration, hospital stays, blood loss, conversion to open surgery, and complications. Results: Of the 155 patients, 105 (67.7%) were male, with a median age of 37 years (range: 1-78). The common laparoscopic surgeries included simple nephrectomy (29%), laparoscopy undescended testis (UDT) (19.3%), renal cyst unroofing (13.5%), and radical nephrectomy (13.5%). Hospital stays ranged from 1 to 7 days, depending on the laparoscopic procedure type. Approximately 12.9% of patients required conversion to open surgery, and no major complications or fatalities were observed. Conclusion: The success and complication rates of laparoscopic surgeries in our city align with those reported in the literature. We firmly believe that technological advancements, increasing experience, and improved patient tolerance make laparoscopic surgery a secure and minimally invasive alternative to open procedures. Keywords: Laparoscopic surgery, minimally invasive surgery, urological surgery.
##plugins.themes.bootstrap3.article.details##
Laparoscopic surgery, minimally invasive surgery, urological surgery.
Buia A, Stockhausen F, Hanisch E. Laparoscopic surgery: A qualified systematic review. World J Methodol. 2015;5(4):238.
Lee W, Chan C, Wang B. Recent advances in laparoscopic surgery. Asian J Endosc Surg. 2013 Feb 6;6(1):1–8.
Buskens CJ, Sahami S, Tanis PJ, Bemelman WA. The potential benefits and disadvantages of laparoscopic surgery for ulcerative colitis: A review of current evidence. Best Pract Res Clin Gastroenterol. 2014 Feb;28(1):19–27.
Ost Mc, Tan Bj, Lee Br. Urological Laparoscopy: Basic Physiological Considerations And Immunological Consequences. J Urol. 2005 Oct;174(4 Part 1):1183–8.
Rassweiler JJ, Teber D. Advances in laparoscopic surgery in urology. Nat Rev Urol. 2016 Jul 24;13(7):387–99.
Jindal T, Mukherjee S, Koju R, S N, Phom D. Simplifying Laparoscopic Nephrectomy for Beginners: Double Window Technique With En Bloc Hilar Stapling. Cureus. 2021 Jul 1; Clayman R V., Kavoussi LR, Soper NJ, Dierks SM, Meretyk S, Darcy MD, et al.
Janetschek G, Marberger M. Laparoscopic surgery in urology. Curr Opin Urol. 2000 Jul;10(4):351–7.
Laparoscopic Nephrectomy: Initial Case Report. J Urol. 1991 Aug;146(2 Part 1):278–82.
Zhao PT, Richstone L, Kavoussi LR. Laparoscopic partial nephrectomy. Int J Surg. 2016 Dec;36:548–53.
Dar SA, Bali RS, Zahoor Y, Rashid Kema A, Bhardwaj R. Undescended Testes and Laparoscopy: Experience from the Developing World. Adv Urol. 2018 Oct 24;2018:1–5.
Jamalalail Y, Guerra L, Leonard M. Selective use of laparoscopy in nonpalpable undescended testes. Urol Ann. 2016;8(1):81.
Salah SEE, Ahmed EOE. The Role of Laparoscopy in Non-palpable Undescended Testicle. African J Paediatr Surg. 2022 Jul;19(3):127–32.
Mehendale V, Shenoy S, Shah R, Chaudhari N, Mehendale A. Laparoscopic management of impalpable undescended testes: 20 years′ experience. J Minim Access Surg. 2013;9(4):149.
Ivey BS, Lucas SM, Meyer CA, Emley TE, Bey A, Gardner TA, et al. Conversions in Laparoscopic Renal Surgery: Causes and Outcomes. J Endourol. 2011 Jul;25(7):1167–73.
Liu Z, Tang S, Tian X, Zhao X, Hong P, Zhang Q, et al. Laparoscopic conversion to open surgery in radical nephrectomy and tumor thrombectomy: causal analysis, clinical characteristics, and treatment strategies. BMC Surg. 2020 Dec 13;20(1):185.
Mehasseb M. Laparoscopic Surgery: When to Convert to Laparotomy? In: Gynecologic and Obstetric Surgery. Wiley; 2016. p. 267–8.