Transumbilical laparoendoscopic single-site surgery(LESS) partial nephrectomy:a median follow-up of 2 years
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Transumbilical laparoendoscopic single-site surgery(LESS) partial nephrectomy:a median follow-up of 2 years
Transumbilical laparoendoscopic single-site surgery(LESS) partial nephrectomy:a median follow-up of 2 years
解放军医学杂志(英文版)2011年26卷第6期 页码:305-315
Affiliations:
Author bio:
Funds:
Supported by the Military Major Project for Clinical High-tech and Innovative Technology of China (2010gxjs057);the Municipal Hospitals’ Project for Emerging and Frontier Technology of Shanghai (SHDC12010115);the Project for the Key Discipline of Shanghai
DOI:
中图分类号:R737.11
纸质出版:2011
Accepted:
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Transumbilical laparoendoscopic single-site surgery(LESS) partial nephrectomy:a median follow-up of 2 years[J]. 解放军医学杂志(英文版), 2011,26(6):305-315.
[1].Transumbilical laparoendoscopic single-site surgery(LESS) partial nephrectomy:a median follow-up of 2 years[J].Journal of Medical Colleges of PLA,2011,26(06):305-315.
Transumbilical laparoendoscopic single-site surgery(LESS) partial nephrectomy:a median follow-up of 2 years[J]. 解放军医学杂志(英文版), 2011,26(6):305-315.DOI:
[1].Transumbilical laparoendoscopic single-site surgery(LESS) partial nephrectomy:a median follow-up of 2 years[J].Journal of Medical Colleges of PLA,2011,26(06):305-315.DOI:
Transumbilical laparoendoscopic single-site surgery(LESS) partial nephrectomy:a median follow-up of 2 years
摘要
Abstract
<正>Objective:Nephron-sparing surgery(NSS) for small renal masses offers a similar functional and oncological outcome to that of radical surgery.Laparoendoscopic single-site surgery(LESS) emerges as an advanced alternative for reduced invasiveness and improves cosmesis;LESS is developing quickly and its indications have been expanded
but still in its infancy.The aim of this paper is to report our preliminary experience in transumbilical LESS partial nephrectomy(LESS-PN)
so as to assess its utility
safety and efficacy.Methods:From August 2009 to October 2010
3 patients underwent transumbilical LESS-PN via a novel multi-channel TriPort by a single experienced urologist in our institution.Patient demographics
perioperative and follow-up data were prospectively collected and analyzed.Results:All the three procedures were successfully completed.A 5-mm ancillary trocar was utilized in all 3 cases.The mean operative duration was 226.3(210-254 min) with an estimated blood loss of 56.7 ml (20-100 ml).Mean warm ischemia time was 35.7 min(19-48 min).One patient was transfused due to postoperative bleeding. The recovery was uneventful and mean length of postoperative stay was 13 days(12-14 days).At the latest follow-up
all patients remained symptom-free and had normal renal function without evidence of recurrence
and they were delighted for a hidden transumbilical scar.Conclusion:Transumbilical LESS-PN is a feasible and safe procedure albeit extremely technically challenging.Surgical outcomes at a median follow-up of 2 years are promising
while currently it should be reserved for highly selected patients with favorable tumor anatomy and performed by a very experienced laparoscopic surgeon.
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