Comparison of Complicatıons Following Laparoscopic Radical and Simple Nephreoctomy Using the Clavien-dindo Clasification

Abstract

Aim:In this article, we aimed to compare the complications occurring after laparoscopic radical (LRN) and simple nephrectomy (LSN).Methods:After obtaining local ethics committee approval, we analyzed the records of a total of 98 patients, who underwent transperitoneal laparoscopic nephrectomy. LSN and LRN were performed in 64 and 34 patients, respectively. The Clavien-Dindo classification was used for evaluating complications. Pneumoperitoneum was created using a Veress needle. Intraabdominal carbon dioxide pressure was 18 mmHg while three 10 mm trocars were inserted and then one 5 mm trocar was inserted if needed.Results:The mean age of the LSN and LRN patients was 38.8±18.43 and 55.7±14.75 years, respectively. Five patients who underwent LSN developed postoperative minor complications (fever in one patient, nausea and vomiting in four patient). In addition, one patient who underwent LSN died postoperatively (vascular injury). Minor complications (fever in two patients, nausea and vomiting two, and ileus in one patient) developed postoperatively in five of 34 patients in LRN group.Conclusion:The rate of complication after LRN was found to be statistically significantly higher than that after LSN.

Keywords

• Simple nephrectomy
• radical nephrectomy
• complication