Laparo-endoscopic single-site (LESS) bilateral nephroureterectomy for patients with end-stage renal disease
Journal
Minimally Invasive Therapy and Allied Technologies
Journal Volume
22
Journal Issue
1
Pages
61-64
Date Issued
2013
Author(s)
Abstract
We present the first report of LESS bilateral nephroureterectomy via the transperitoneal approach using the home-made single port. Two patients received LESS bilateral nephroureterectomies and bladder cuffs resection with homemade single ports, which were created by using an Alexis wound retractor as an access platform through a 4 cm incision. Distal ureters were resected through the same incision with Endo-loop. No additional ports were used and both procedures were completed successfully without traditional laparoscopic/open conversion or complication. LESS nephreoureterectomy with bladder cuff excision was performed in 460 and 635 minutes with an estimated blood loss of 50 and 400 mL, respectively. Patients were discharged on postoperative day 3 and 7, respectively. Our report demonstrates that LESS bilateral nephroureterectomy and bladder cuff resection is a safe and feasible procedure for urothelial carcinoma of upper urinary tract in patients at dialysis. ? Informa Healthcare.
SDGs
Other Subjects
adult; article; case report; cholecystectomy; female; human; kidney failure; laparo endoscopic single site bilateral nephroureterectomy; nephroureterectomy; postoperative hemorrhage; priority journal; treatment outcome; Adult; Blood Loss, Surgical; Carcinoma, Transitional Cell; Endoscopy; Feasibility Studies; Female; Humans; Kidney Failure, Chronic; Laparoscopy; Male; Middle Aged; Nephrectomy; Operative Time; Ureter; Urinary Bladder Neoplasms; Urologic Surgical Procedures
Type
journal article