Comparing the complications of laparoscopically performed simple, radical and donor nephrectomy

Abstract

Bacground/aim: The aim of this study was to compare the complications of laparoscopic simple, radical and donor nephrectomiesperformed in a single center.Materials and methods: The study was conducted on 392 patients who underwent laparoscopic nephrectomy in University of HealthSciences, Ankara Türkiye Yüksek İhtisas Training and Research Hospital between January 1, 2008 and January 30, 2019. Clinical andlaboratory parameters were recorded. Postoperative complications were recorded and graded as per Clavien-Dindo classification(CDC). All analyses were performed on SPSS v21.0 (IBM Corp., Armonk, NY, USA).Results: The mean age of the patients was 49.13 ± 15.45 years. The frequency of comorbidities and ASA scores were significantly higherin the laparoscopic radical nephrectomy (LRN) group than in the other groups (P < 0.001). Amount of bleeding was significantlylower in the laparoscopic donor nephrectomy (LDN) group compared to the other groups (P < 0.001). Classification of complicationsaccording to CDC showed that complications occurred in 17.01% (n = 25) of the LRN group, 7.02% (n = 12) of the laparoscopic simplenephrectomy (LSN) group, and 2.70% (n = 2) of the LDN group. Length of stay in hospital was significantly higher in the LRN groupthan in the LSN group (P < 0.001).Conclusion: In this study, the frequency of complications in LRN procedures was found to be higher than the LSN and LDN procedures.Patients with LRN may have more adverse health conditions before the operation. Considering the results of this study, variables suchas patient and hospital characteristics, surgeon experience and skills should be evaluated in future studies. In addition, it is important todetermine the frequency of complications using a standardized classification in order to enable correct interpretation of results.