| Summary: | Objective
Standardization is important for the assessment of technical difficulty
and complications in laparoscopic urology surgery. In this study, our
laparoscopic operations and complications were evaluated retrospectively
by using the European Scoring System and Clavien classification system.
Materials and Methods
We evaluated a total of 228 laparoscopic urologiy procedures performed
between 2002 and 2007. The first 114 cases were named as group 1 and the
second 114 cases as group 2. Both of the groups were classified regarding
technical difficulty according to the European Scoring System. Complications
were divided into two groups: major and minor. Postoperative complications
were evaluated by the Clavien classification system.
Results
The rate of difficult operations was 24.5% and 56.1% in group 1 and
group 2, respectively. In group 1, major and total complications were
more common in difficult operations than in easy operations (p=0.045,
p=0.006). Minor complications were similar (p=0.064). In group 2,
complication rates were similar for both difficult and easy operations.
(p=0.694, p=0.509, p=0.273). Complication rates per case was 0.21 (0-3) in
group 1 and 0.19 (0-3) in group 2 and there was no significant difference
between the two groups (p=0.790). Postoperative complications were
classified using the Clavien classification system. 17% (n=4/23) of 23
complication was grade 1, 48% (n=ll/23) was grade 2, 26% (n=6/23)
was grade 3a, 9% (n=2/23) was grade 3b. There were no grade 4 and 5
complications. 3% of the cases were converted to open surgery and no
statistically difference was found between the groups (p=0.446). Conclusion
We assume that the European Scoring System and the Clavien
classification system are important in the assessment of difficulty of the
cases and standardization of the analysis of postoperative complications.
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