TITLE

Retroperitoneal Laparoendoscopic Single-Site Simple Nephrectomy: Initial Experience

AUTHOR(S)
Chen, Zhi; Chen, Xiang; Luo, Yan-Cheng; He, Yao; Li, Nan-Nan; Xie, Chao-Qun; Lai, Chen
PUB. DATE
June 2012
SOURCE
Journal of Endourology;Jun2012, Vol. 26 Issue 6, p647
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Purpose: To present our early experience with retroperitoneal laparoendoscopic single-site (LESS) simple nephrectomy. Patients and Methods: A total of 16 patients with benign nonfunctioning kidney underwent retroperitoneal LESS nephrectomy by one experienced laparoscopic surgeon. A single-port access was inserted through an approximately 3-cm lumbar incision made below the 12th rib along the midaxillary line. Standard steps of multisite retroperitoneoscopic nephrectomy technique with a combination of conventional and bent laparoscopic instruments were performed. Results: Retroperitoneal LESS nephrectomy was performed in 15 cases successfully. The procedure of one patient (genitourinary tuberculosis) needed conversion to open surgery because of the severe adhesions surrounding the kidney, which resulted in failure to progress. Overall, the mean operative time was 85 (75-140) minutes, and estimated blood loss was 56 (20-110) mL. The mean time to resume oral diet was 1.5 days. The mean postoperative hospital stay was 4 (3-5) days. Perioperative complications were limited to one case of transient postoperative fever. No major intraoperative and postoperative complication occurred. Conclusions: Retroperitoneal LESS nephrectomy performed by an experienced laparoscopic surgeon is feasible and safe, offering improved cosmesis, although it remains technically challenging. Retroperitoneal LESS nephrectomy should be selectively used in terms of patients' specific conditions.
ACCESSION #
76339792

 

Related Articles

  • Laparoscopic resection for inflammatory bowel disease: outcomes from a nationwide sample. Ananthakrishnan, Ashwin N.; McGinley, Emily L.; Saeian, Kia; Binion, David G. // Journal of Gastrointestinal Surgery;Jan2010, Vol. 14 Issue 1, p58 

    Background and Aims: A significant proportion of patients with inflammatory bowel diseases (IBD) require surgery. While the majority of these are open procedures (OP), there is recent interest in laparoscopic resection (LS). There are no nationwide comparison of outcomes between LS...

  • Asportazione laparoscopica di rene policistico per via retroperitoneale: note di tecnica. Parma, Paolo; Samuelli, Alessandro; Dall'Oglio, Bruno // Urologia;2013 Supplement, Vol. 80 Issue S-22, p31 

    INTRODUCTION: We present our technique of laparoscopic nephrectomy with intact specimen extraction for patient with autosomal dominant polycystic kidney disease (ADPKD). MATERIALS AND METHODS: A 5-port retroperitoneal laparoscopic approach was used to dissect the involved kidney, which was then...

  • Long-term comparison of laparoscopy-assisted distal gastrectomy and open distal gastrectomy in advanced gastric cancer. Gordon, Andrew; Kojima, Kazuyuki; Inokuchi, Mikito; Kato, Keiji; Sugihara, Kenichi // Surgical Endoscopy;Feb2013, Vol. 27 Issue 2, p462 

    Background: The use of laparoscopy-assisted distal gastrectomy (LADG) in advanced gastric cancer (AGC) remains a controversial topic, mainly because of doubts about its oncologic validity. To date, literature on the prognosis for AGC after LADG is scarce. This study evaluated the procedure's...

  • Insights into fast-track colon surgery: a plea for a tailored program. Pellegrino, L.; Lois, F.; Remue, C.; Forget, P.; Crispin, B.; Leonard, D.; Jamart, J.; Kartheuser, A. // Surgical Endoscopy;Apr2013, Vol. 27 Issue 4, p1178 

    Background: This retrospective study compared the fast-track colon surgery program to conventional perioperative care and assessed factors that influence postoperative length of stay. Design: This retrospective study included 124 fast-track and 119 conventional care colon surgical patients....

  • Laparoscopic versus open nephrectomy for xanthogranulomatous pyelonephritis: An outcome analysis. Shah, Kartik J.; Ganpule, Arvind P.; Kurien, Abraham; Muthu, Veeramani; Sabnis, Ravindra B.; Desai, Mahesh R. // Indian Journal of Urology;Oct-Dec2011, Vol. 27 Issue 4, p470 

    Context: Current literature suggests that laparoscopic nephrectomy (LN) in patients with xanthogranulomatous pyelonephritis (XGP) is associated with high conversion and complication rate. Aims: To report contemporary outcome of patients with XGP, managed with either open nephrectomy (ON) or LN....

  • Laparoscopic versus open appendectomy. Kanat, Burhan Hakan; Turkoglu, Ahmet; Yur, Mesut; Girgin, Mustafa; Aslanmirza, Mehmet Yasar // HealthMed;2013, Vol. 7 Issue 4, p1220 

    Background and Aims: Our aim in this study is retrospective evaluation of patients with a diagnosis of acute appendicitis that underwent laparoscopic or open appendectomy and determination of the significance of laparoscopic appendectomy. Methods: In this study, the patients' data with a...

  • Enhanced recovery after surgery: benefits for the stoma care patient. Burch, Jennie; Slater, Rebecca // British Journal of Nursing;3/22/2012 Supplement, pS16 

    Enhanced recovery can be seen as the use of evidence and research that when used for patients undergoing stoma-forming surgery (and other surgery) leads to a better recovery (Lassen et al, 2009; Ahmed et al, 2010). Moving patients towards adopting an opinion that 'up and mobile' immediately...

  • Enhanced Recovery After Surgery (ERAS) Versus Conventional Postoperative Care in Colorectal Surgery. Teeuwen, Pascal H. E.; Bleichrodt, R. P.; Strik, C.; Groenewoud, J. J. M.; Brinkert, W.; Laarhoven, C. J. H. M. van; Goor, H. van; Bremers, A. J. A. // Journal of Gastrointestinal Surgery;Jan2010, Vol. 14 Issue 1, p88 

    Background Enhanced Recovery After Surgery (ERAS) programs are associated with reduced hospital morbidity and mortality. The aim of the present study was to evaluate whether the introduction of ERAS care improved the adverse events in colorectal surgery. In a cohort study, mortality, morbidity,...

  • Enhancing Surgical Performance Outcomes Through Process-driven Care: A Systematic Review. Pucher, Philip; Aggarwal, Rajesh; Singh, Pritam; Darzi, Ara // World Journal of Surgery;Jun2014, Vol. 38 Issue 6, p1362 

    Background: Recent evidence has demonstrated the variability in quality of postoperative care, as measured by rates of failure to rescue (FTR). The identification of structure- and process-related factors affecting the quality of postoperative care is the first step towards understanding and...

Share

Read the Article

Courtesy of

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics