Early intraoperative and postsurgical complications in urological lumbo-laparoscopic surgery

Authors

  • Antonio Israel Salazar Ortega Hospital General Docente “Dr. Juan Bruno Zayas Alfonso”, Santiago de Cuba, Cuba.
  • Amparo Mirabal Fariñas Hospital Provincial Saturnino Lora
  • Santiago Ducasses Olivares Hospital General Docente “Dr. Juan Bruno Zayas Alfonso”, Santiago de Cuba, Cuba
  • Erián Jesús Domínguez González Hospital Clinicoquirúrgico Docente “Saturnino Lora Torres”, Santiago de Cuba, Cuba.
  • Alfredo Rodríguez Morales Facultad de Ciencias Médicas No. 2, Santiago de Cuba, Cuba

Keywords:

cirugía lumbo-laparoscópica urológica, complicaciones quirúrgicas, hidrocele reaccional, Servicio de Urología

Abstract

A descriptive study of 103 patients who received lumbo-laparoscopic surgery in the Urology Service of "Dr. Juan Bruno Zayas Alfonso" Teaching General Hospital in Santiago de Cuba was carried out during the period of January, 2011 to December, 2014, aimed at describing early intraoperative and postsurgical complications according to some selected variables.  Among the main discoveries of the series it was obtained that 73 surgeries were carried out through transperitoneal access and 30 through retroperitoneal access, most of the patients corresponded to the male sex and in all surgeries 15 complications were notified, with higher frequency of the reactional hydrocele and prolonged drainage, which were classified in degree according to the Clavien-Dindo system.  It is concluded that the emergence of complications was closely related to the complexity of the procedures carried out and the surgical retroperitoneal access; however, the urologic lumbo-laparoscopic surgery constitutes a reliable technique for the treatment of these patients.

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Author Biography

Amparo Mirabal Fariñas, Hospital Provincial Saturnino Lora

Especialista de 1er grado en urologia, Jefa de la Catedra de urologia de la Facultad No 1 de medicina, profesora asistente de urologia.

References

1. Cadeddu JA, Wolfe JS, Nakada S, Chen R, Shalhav A, Bishoff JT, et al. Complications of laparoscopic procedures after concentrated training in urological laparoscopy. J Urol. 2011; 166(6): 2109-11.

2. Castillo O, Cortes O. Complicaciones en cirugía laparoscópica urológica. Actas Urol Esp. 2006; 30(5): 541-54.

3. Parsons JK, Varkarakis I, Rha KH, Jarrett TW, Pinto PA, Kavoussi LR. Complications of abdominal urologic laparacopy: longitudinal five-year analysis. Urology. 2004; 63(1): 27-32.

4. Vallancien G, Cathelineau X, Baumert H, Doublet JD, Guillonneau B. Complications of transperitoneal laparoscopic surgery in Urology: Review of 1,311 procedures at a single center. J Urol. 2002; 168(1): 23-6.

5. Abreu SC, Sharp DS, Ramani AP, Steinberg AP, Ng CS, Desai MM, et al. Thoracic complications during urological laparoscopy. J Urol. 2004; 171(4): 1451-5.

6. Soulie M, Salomon L, Seguin P, Mervant C, Mouly P, Hoznek A, et al. Multi-institutional study of complications in 1085 laparoscopic urologic procedures. Urology. 2001; 58(6): 899-903.

7. Parsons JK, Varkarakis I, Rha KH, Jarrett TW, Pinto PA, Kavoussi LR. Complications of abdominal urologic laparoscopy: longitudinal five-year analysis. Urology. 2004; 63(1): 27-32.

8. Dindo D, Demartines N, Clavien PA. Classification surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg. 2004; 240(2):205-13.

9. Guillonneau B, Abbou CC, Doublet JD, Gaston R, Janetschek G, Mandressi A, et al. Proposal for a “European Scoring System for laparoscopic operations in Urology”. Eur Urol. 2001; 40(1):2-6.

10. Mitropoulos D, Artibani W, Graefen M, Remzi M, Rouprêt M, Truss M. Notificación y clasificación de complicaciones después de procedimientos quirúrgicos urológicos: una evaluación y recomendaciones del panel de guías clínicas de la EAU. Actas Urol Esp. 2013; 37(1): 1–11.

11. Andrade C, Aponte H, Duarte D, Cote M. Complicaciones en cirugía laparoscópica urológica. Revisión de 168 procedimientos. Rev Urol Colomb. 2005; 14(3): 69-73.

12. Escobar J, Gaviria F, Arbeláez F, Aristizábal S, Hernández JG, Gallo E, et al. Complicaciones en cirugía urológica laparoscópica: experiencia de 7 años. Rev Urol Colomb. 2008; 16(3): 35-42.

13. González de León T. Cirugía lumboscópica de la litiasis del uréter lumbar [tesis]. La Habana: Universidad de Ciencias Médicas; 2010.

14. Fahlenkamp D, Raissweiler J, Fornara P, Frede T, Loening SA. Complications of laparoscopic procedures in urology: experience with 2,407 procedures at 4 German centers. J Urol. 1999; 162(3 Pt 1): 765-70.

15. Permpongkosol S, Link RE, Su LM, Romero FR, Bagga HS, Pavlovich CP, Jarrett TW, Kavoussi LR. Complications of 2,775 urological laparoscopic procedures: 1993 to 2005. J Urol. 2007; 177(2): 580-5.

16. Harewood L, Webb D, Pope A. Laparoscopic Ureterolithotomy: The results of an initial series, and an evaluation of its role in management of ureteric calculi. Br J Urol. 1994; 74(2): 170-6.

17. Gill IS. The case for laparoscopic adrenalectomy. J Urol. 2011; 166(2): 429-36.



18. Rassweiler J, Fornara P, Weber M, Janetschek G, Fahlenkamp D, Henkel T, et al. Laparoscopic nephrectomy: the experience of laparoscopic group of the German Urologic Association. J Urol. 1998; 160(1): 18-21.

19. Tobías Machado M, Lasmar MT, Rincón Ríos F, Herminio Forseto P, Vaz Juliano R, Wroclawski ER. Seis años de experiencia en cirugía laparoscópica lumbar extraperitoneal, 2010. Endourología, ESWL y Laparoscopia. Arch Esp Urol. 2005; 58(7): 657-64.

20. Dindo D, Demartines N, Clavien PA. Classification of surgical complications. A New Proposal with Evaluation in a Cohort of 6336 Patients and Results of a Survey. Ann Surg. 2004; 240(2): 205-13.

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Published

2015-10-12

How to Cite

1.
Salazar Ortega AI, Mirabal Fariñas A, Ducasses Olivares S, Domínguez González EJ, Rodríguez Morales A. Early intraoperative and postsurgical complications in urological lumbo-laparoscopic surgery. MEDISAN [Internet]. 2015 Oct. 12 [cited 2025 Jun. 2];19(10). Available from: https://medisan.sld.cu/index.php/san/article/view/475

Issue

Vol. 19 No. 10 (2015): MEDISAN

Section

Original Articles

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