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ISSN 2305-7939 (Electronic)

2020, Number 1

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RCU 2020; 9 (1)

Complications in the nephrectomy by lumboscopic approach

González LT, Ortega VE, Morera PM, Sánchez TR, Quintana RM, Olivé GJE

Language: Spanish
References: 26
Page: 13-23
PDF size: 759.74 Kb.


ABSTRACT

Introduction: Although complications are not common, have accompanied the urological laparoscopic surgery since the first nephrectomy via retroperitoneal approach.
Objective: To evaluate the complications of the lumboscopic nephrectomy.
Methods: A retrospective and longitudinal study was conducted in 166 nephrectomized patients through lumboscopy at the National Center of Minimum Access Surgery between 2010 and 2018. A database was created and it was used the SPSS software, version 21. Absolute and relative frequencies, and statistical tests of comparison (p <0.05) were used. A univariate analysis was made to relate clinical and perioperative variables with the complications having a significance level of p<0.05.
Results: Average age was of 50.4 years. There was a predominance of women and ASA I. The 31.5% had previous renal surgery and 21.6% had urinary diversion. The most frequent cause of nephrectomy was lithiasis (61.9%). Postoperative complications were observed in the 15.2%, most of them were infectious and grade I. The average age of patients with complications was higher. The frequency of complications was higher in those with a history of previous renal surgery. The history of more than one surgery and urinary diversion was not associated with more frequency of complications. Patients with staghorn calculi had significantly more complications (53.3%; p = 0.02).
Conclusions: Lumboscopic nephrectomy is a feasible, safe, and with a low rate of complications technique.


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