Preliminary experience with transperitoneal laparoendoscopic single-site radical nephrectomy using a home-made single-port device in China / 中华医学杂志(英文版)
Chinese Medical Journal
; (24): 279-283, 2014.
Article
in En
| WPRIM
| ID: wpr-318000
Responsible library:
WPRO
ABSTRACT
<p><b>BACKGROUND</b>Laparoendoscopic single-site (LESS) surgery represents a technique to further reduce morbidity and scarring associated with surgery. We present our preliminary experience with transperitoneal LESS radical nephrectomy (RN) using a home-made single-port device in China.</p><p><b>METHODS</b>From July 2010 to November 2011, eleven patients with renal tumor not greater than T2 underwent LESS-RN by an experienced laparoscopic surgeon. A home-made single-port device was used through a 5-cm umbilical incision. A combination of standard and articulating laparoscopic instruments was used. The sequence of steps of LESS-RN was similar to transperitoneal laparoscopic RN. Patient characteristics, perioperative variables and postoperative outcomes were recorded and analyzed.</p><p><b>RESULTS</b>Except for two transperitoneal laparoscopic conversions and one hand-assisted laparoscopic conversion, the other procedures were completed successfully without conversion to open surgery. The mean operative time was 224.5 (155-297) minutes, estimated blood loss was 270.9 (50-900) ml, and hospital stay was 10.4 (5-15) days. The mean visual analog pain scale (VAPS) on the first postoperative day was 4.0/10. Final pathological analysis revealed renal cell carcinoma in all cases with a stage distribution of three T1a, five T1b, and three T2a tumors. With the mean follow-up period of 21.4 (12-28) months, all patients were alive without evidence of tumor recurrence or metastasis, and were satisfied with the appearance of the scars.</p><p><b>CONCLUSION</b>Transperitoneal LESS-RN using a home-made single-port device is technically feasible and safe in a selected group of patients (low body mass index and stage tumor) and has excellent cosmetic results. Although preliminary oncologic outcome is not compromised, the long-term evaluation of these patients is awaited.</p>
Full text:
1
Index:
WPRIM
Main subject:
General Surgery
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Carcinoma, Renal Cell
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China
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Treatment Outcome
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Laparoscopy
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Kidney Neoplasms
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Methods
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Nephrectomy
Limits:
Adult
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Female
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Humans
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Male
Country/Region as subject:
Asia
Language:
En
Journal:
Chinese Medical Journal
Year:
2014
Type:
Article