Introduction. Periodic evaluation of the results of new invasive medical technologies introduced into practice allows timely identification of procedural-specific complications and development of optimal tactics for the elimination of complications and measures to prevent them, which will eventually lead to a reduction in the rehabilitation time of patients, reduce economic costs and improve the quality of surgical interventions.
Purpose. Evaluation of the relationship between the results of laparoscopic operations and the accumulated experience of a specialist surgeon.
Material and methods. From 2010 to 2020, 2,580 laparoscopic (40 different types) operations were performed in 2,369 patients at the RSCPMC of Urology. The research period was divided into 2 stages: the period of development (2010-2015, 1025 operations) and the accumulated experience (2016-2020, 1344 operations).
Results. The duration of operations was more significant during the period of development of technical details of the operative procedures (p<0.05). The frequency of intraoperative complications did not differ significantly between the groups. However, at the stage of mastering the technology, more severe complications were observed more often, with the accumulation of experience, severe intraoperative complications began to be noted less often, and they were mainly associated with the complexity and duration of operations. The frequency of postoperative complications, with the gaining of experience, decreased by 2 times.
Conclusions. The results of laparoscopic interventions arc determined by the degree of mastering the technology of operative procedures.