Document Detail


Retroperitoneal Laparoendoscopic Single-Site Surgery by Single Trocar Technique: Initial Experience with Renal Cyst Decortication.
MedLine Citation:
PMID:  23072409     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Abstract Objective: To retrospectively review our initial experience with respect to evaluating the feasibility and safety of retroperitoneal laparoendoscopic single-site surgery (LESS) for renal cyst decortication using the single trocar technique. Patients and Methods: Between April 2010 and November 2011, 45 patients with symptomatic simple renal cyst have undergone retroperitoneal LESS using the single trocar technique by the same experienced laparoscopic surgeon. A 10-mm 0° laparoscope with a 6-mm working channel and straight conventional laparoscopic instruments were used during all the procedures. Salient demographic and operative data were recorded, including age, body mass index, operative time, estimated blood loss, perioperative complications, analgesic requirement, etc. Results: Forty-three cases were accomplished successfully. In the remaining 2 patients dense adhesions around the renal cyst were encountered, and the operations were completed with an additional 5-mm trocar. The mean operative time was 49 minutes. The mean estimated blood loss was 12 mL. The mean in-hospital analgesic requirement was 2.8 mg of morphine equivalent. The mean time for ambulation postoperatively was 2 days; at the same time the drainage catheter was removed. The mean hospital stay was 3 days. There were no major perioperative complications, but superficial wound infection was noted in 1 patient. Conclusions: Our initial experience with retroperitoneal LESS by the single trocar technique shows the safety and feasibility for renal cyst decortication and provides acceptable operative outcomes.
Authors:
Dong Chen; Boxin Xue; Yuxi Shan; Dongrong Yang; Chuanyang Sun
Related Documents :
24761949 - Importance of preoperative anaesthetic consultation in perioperative medicine.
24133109 - Surgical cost of care in crohn's disease.
23135589 - Single-access laparoscopic colectomy utilizing gravity in the lateral decubitus position.
23453099 - Influence of access site choice on incidence of neurologic complications after percutan...
24373569 - Facilitating unequivocal and durable decisions in workers' compensation patients eligib...
23330049 - Percutaneous endoscopic gastrostomy tube replacement: a simple procedure?
17932999 - Value of preoperative ultrasound examination in the selection of women with adnexal mas...
17100959 - Impact of anticoagulation on rebleeding following endoscopic therapy for nonvariceal up...
24761949 - Importance of preoperative anaesthetic consultation in perioperative medicine.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-10-16
Journal Detail:
Title:  Journal of laparoendoscopic & advanced surgical techniques. Part A     Volume:  -     ISSN:  1557-9034     ISO Abbreviation:  J Laparoendosc Adv Surg Tech A     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-17     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9706293     Medline TA:  J Laparoendosc Adv Surg Tech A     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Urology, The Second Affiliated Hospital of Soochow University , Suzhou, China .
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Single Surgeon Experience with Laparoscopic Surgery in Pediatric Patients with Inflammatory Bowel Di...
Next Document:  The Laparoscopic-Endoscopic Cooperative Surgery for the Colonic Calcifying Fibrous Tumor: One Case R...