ABSTRACT
INTRODUCTION: To report our preliminary techniques and experience with retroperitoneoscopic single-site renal pedicle lymphatic disconnection (RPSS-RPLD) in five patients with serious filarial chyluria. MATERIALS AND METHODS: Between May 2010 and July 2011, five patients with serious filarial chyluria underwent RPSS-RPLD. In the patients, a 3 cm single incision was made between the 12th subcostal margin and posterior axillary line, and a homemade single multichannel port using a surgical glove and three conventional trocars was placed into retroperitoneal space. The lymphatic disconnection was similar to traditional open surgery. RESULTS: All the operations were successfully completed without conversion to open surgery. The mean operative time was 116 (102-145) minutes. The mean blood loss was estimated to be 98 (60-190) mL. Chyluria disappeared in all patients after surgery and did not recur during the follow up period (3-14, mean 7.6 months). CONCLUSION: RPSS-RPLD is safe and feasible, with favorable short term outcomes and aesthetic effect.
