Téma: 

Usefulness of laparoscopy in urology – experiences with 150 laparoscopic operations

Ján Ľupták, Ján Švihra, Kamil Javorka, Michael Vraný, Boris Eliáš, Igor Sopilko, Ján Kliment jr.

Introduction: Laparoscopy has become standard treatment for many urological diseases in the last ten years. Retrospective analysis of 4,5 years experiences with laparoscopic operations was performed. Clinical collection and methods: Between October 2000 and July 2005 we performed 149 laparoscopic operation, including 90 (58,8 %) varicocelectomies, 31 (20,3 %) adrenalectomies (bilateral in 2 cases), 12 (7,8 %) nephrectomies, 8 (5,2 %) resections of renal cysts, 6 (3,9 %) laparoscopic operations of cryptorchidism, 3 (2,0 %) nephropexies, and partial nephrectomy of renall cell cancer, adjuvant retroperitoneal lymph node dissection and pyeloplasty of dystopic kidney identically in 1 (0,7 %) patient. Results: The operating time and hospital stay decreased about by one third and one half, respectively. Blood transfusion was performed in two (1,4 %) cases. One patient (3,4 %) of 29 after laparoscopic adrenalectomy with heamorrhage due to vena cava vein injury after adrenalectomy underwent conversion to open surgery. Second patient with bleeding from adrenalectomy bed was treated via laparoscopic approach. One patient (12,5 %) of 8 after resection of renal cyst, suffered from fistula and 3 (3,3 %) patients had recurrence of varicocele after spermatic ligation. Conclusion: Lapaparoscopy is safe and effective surgical modality which has become the surgical procedure of first choice for many urological diseases. This operative technique has low morbidity, low postoperative analgesic requirements and short hospital stay.

Ročník 2005  Témy časopisu Clinical urology 1 / 2005

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prof. MUDr. Tomáš Hanuš, DrSc.
doc. MUDr. Ladislav Jarolím, CSc.
doc. MUDr. Ján Ľupták, PhD.
doc. MUDr. Jozef Marenčák, PhD.
doc. MUDr. Ivan Minčík, PhD.
prof. MUDr. Dalibor Ondruš, DrSc.
prof. Imre Romics, M.D., PhD.
doc. MUDr. Vladimír Študent, PhD.
prof. MUDr. Ján Švihra, PhD.
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