|Preliminary experience with transperitoneal laparoendoscopic single-site radical nephrectomy using a home-made single-port device in China|
|Bi Hai; Ma Lulin; Hou Xiaofei; Zhang Shudong; Wang Guoliang; Zhao Lei|
|关键词||Renal Cell Carcinoma Laparoendoscopic Single-site Surgery Nephrectomy|
|刊名||CHINESE MEDICAL JOURNAL|
|WOS标题词||Science & Technology|
|类目[WOS]||Medicine, General & Internal|
|研究领域[WOS]||General & Internal Medicine|
|关键词[WOS]||INITIAL-EXPERIENCE ; LAPAROSCOPIC NEPHRECTOMY ; OUTCOMES ; SURGERY|
Background 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.
Methods 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.
Results 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.
Conclusion 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.
|作者单位||Peking Univ, Hosp 3, Dept Urol, Beijing 100191, Peoples R China|
|Bi Hai,Ma Lulin,Hou Xiaofei,et al. Preliminary experience with transperitoneal laparoendoscopic single-site radical nephrectomy using a home-made single-port device in China[J]. CHINESE MEDICAL JOURNAL,2014,127(2):279-283.|
|APA||Bi Hai,Ma Lulin,Hou Xiaofei,Zhang Shudong,Wang Guoliang,&Zhao Lei.(2014).Preliminary experience with transperitoneal laparoendoscopic single-site radical nephrectomy using a home-made single-port device in China.CHINESE MEDICAL JOURNAL,127(2),279-283.|
|MLA||Bi Hai,et al."Preliminary experience with transperitoneal laparoendoscopic single-site radical nephrectomy using a home-made single-port device in China".CHINESE MEDICAL JOURNAL 127.2(2014):279-283.|