2100 Laparoscopic Urology Surgeries: Past, Present and Future

Objective: to evaluate the results and benefits of urological laparoscopic operations performed in our center. Methods: We retrospectively analyzed 2100 patients who underwent laparoscopic surgery between January 2005 and May 2024. Patients were assessed for demographic characteristics, preoperative diagnosis, type of laparoscopic procedure, length of surgery and hospital stay, and complications before and after surgery and the need for postoperative open surgery. Results: Of the included patients, 1126 were men and 974 were women, and the mean age was 42.4 ± 10.6 years. 2098 procedures were performed via a transperitoneal approach and 2 via retroperitoenal approach. Operations included 447 simple nephrectomies, 178 radical nephrectomies, 122 donor nephrectomies, 212 pyeloplasties, 280 radical prostatectomies, and 96 laparoscopic radical cystectomies. The average duration of the operation for the most performed procedures was as follows: simple nephrectomy 181 (100-240) minutes, ureterolithotomy 110 (90-130) minutes, radical nephrectomy 178 (120-300) minutes, radical prostatectomy 280 (230) minutes. minutes 310) minutes and pyeloplasty 170 (150-190) minutes. Average hospital stay was 2.5 (2-5) days for simple nephrectomy, 3 (3-5) days for radical nephrectomy, 2.2 (1-4) days for ureterolithotomy, 2.3 (2-4) days for pyeloplasty days and 3.8 (3-6 days) for radical prostatectomy. Conclusion: The success rate and complications of laparoscopic surgery at our center are similar to those reported in the literature. We believe that laparoscopic surgery is a safe alternative to minimally invasive and open surgery, due to the development of technology, increased knowledge and high patient tolerance. Key words: Urological laparoscopic surgery, Retrospective analysis, Patient outcomes, Surgical procedures, Complications, Transperitoneal approach, Radical nephrectomy, Simple nephrectomy, Radical prostatectomy, Pyeloplasty, Length of surgery, Hospital stay