Sarcouncil Journal of Medicine and Surgery

Abstract: Laparoscopic urology surgery has become a widely used minimal invasive treatment of a variety of renal and adrenal diseases, which have such advantages as less morbidity and quicker recovery. The objective of the study was to compare the perioperative and short-term outcomes of laparoscopic urologic surgeries and the independent risk factors which lead to postoperative complications through the use of logistic regression. The case study was a cross-sectional study involving 91 patients that had laparoscopic urologic surgery. The data used to gather the clinical outcomes was at Karbala-Iraq hospitals in the years 2021-2022. The statistical analysis conducted was logistic regression to determine the relationship between possible risk factors and the prevalence of postoperative complications. The average operating time was 142.36, the average turnaround rate was 5.5, and the intraoperative complication rate was 7.7. The incidence of post-surgery complications was 16.5 percent, with the infection of surgical sites being the most prevalent (6.6 percent). The average length of stay was 3.2 ± 1.5 days, and 83.5% of the patients expressed good-to-excellent satisfaction at 12 months follow-up. The significant predictors of postoperative complications were age >65 years (OR 2.1, p=0.03), ASA class III-IV (OR 3.0, p=0.002), BMI >30 (OR 2.4, p=0.01), and surgical site infection (OR 2.8, p=0.008) according to the logistic regression. Laparoscopic urologic surgery is reported to have positive outcomes and patient satisfaction in most cases. Another important independent risk factor of postoperative complications consisted of advanced age, higher ASA score, obesity, and incidence of surgical site infection.