Current status of urological laparoscopy in Puebla: a multicenter retrospective analysis

Carlos Arroyo, Departamento de Urología, Hospital Ángeles Puebla, Puebla, Puebla, Mexico
Elena Soto-Vega, Departamento de Investigación, Universidad Anáhuac Puebla, Puebla, Puebla, Mexico
Ma. José Muñoz-Pérez, Departamento de Urología, Hospital Ángeles Puebla, Puebla, Puebla, Mexico
Jorge Garay, Departamento de Urología, Hospital Ángeles Puebla, Puebla, Puebla, Mexico
Sergio Gali, Departamento de Urología, Hospital Ángeles Puebla, Puebla, Puebla, Mexico
Bernardo Aguilar, Departamento de Urología, Hospital Ángeles Puebla, Puebla, Puebla, Mexico

Introduction: Laparoscopy has become the standard approach in urological surgery. Objective: To describe the current status of laparoscopic urologic procedures in Puebla through a multicenter retrospective analysis. Methods: A retrospective study analyzed 492 laparoscopic urological procedures performed between 2001 and 2020. Demographics, diagnosis, surgical approach, operative time, hospital stay, and complications were reviewed. Results: 71.1% of patients were male. Renal surgeries accounted for 48.5% of procedures, followed by pelvic surgeries and varicocelectomies. Operative time ranged from 60 to 420 minutes. Hospital stay ranged from 24 hours to 20 days. Trends showed improved outcomes with increased surgical experience. Conclusions: Laparoscopic urological surgery is widely practiced in Puebla with outcomes comparable to global standards. Further comparative and prospective studies are warranted.

Keywords: Laparoscopy. Urology. Prostatectomy. Nephrectomy. Minimally invasive surgery. Mexico.