The Feasibility of Laparoendoscopic Single-Site Nephrectomy: Initial Experience Using Home-made Single-port Device

被引:43
作者
Han, Woong Kyu
Park, Yong Hyun
Jeon, Hwang Gyun
Jeong, Wooju
Rha, Koon Ho
Choi, Hwang
Kim, Hyeon Hoe
机构
[1] Yonsei Univ, Coll Med, Urol Sci Inst, Dept Urol, Seoul, South Korea
[2] Seoul Natl Univ, Coll Med, Dept Urol, Seoul, South Korea
关键词
LAPAROSCOPIC NEPHRECTOMY; NONFUNCTIONING KIDNEY; SURGERY;
D O I
10.1016/j.urology.2009.10.038
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
OBJECTIVES To report our early experience with laparoendoscopic single-site (LESS) nephrectomy using home-made single-port device for benign nonfunctioning kidney. METHODS A total of 14 patients with benign nonfunctioning kidney underwent transperitoneal LESS nephrectomy by 2 experienced laparoscopic surgeons. The indications for nephrectomy were nonfunctioning kidney associated with ectopic kidney (n = 2), ureteropelvic junction obstruction (n = 5), genitourinary tuberculosis (n = 4), ureter stone (n = 2), and ureter stricture (n = 1). RESULTS All procedures were completed successfully. The mean operative time was 151 (85-230) minutes, estimated blood loss 108 (negligible-500) mL, and postoperative hospital stay 3.1 (2-6) days. There were no major complications. CONCLUSIONS LESS nephrectomy is a feasible and safe surgical option for benign nonfunctioning kidney. UROLOGY 76: 862-865, 2010. (C) 2010 Elsevier Inc.
引用
收藏
页码:862 / 865
页数:4
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