Minimally Invasive Nephrectomy: The Influence of Laparoendoscopic Single-site Surgery on Patient Selection, Outcomes, and Morbidity

Urology ◽  
2011 ◽  
Vol 77 (3) ◽  
pp. 631-634 ◽  
Author(s):  
Saad A. Mir ◽  
Sara L. Best ◽  
Chester J. Donnally ◽  
Cenk Gurbuz ◽  
Chad R. Tracy ◽  
...  
2017 ◽  
Vol 47 (11) ◽  
Author(s):  
Diego da Costa ◽  
Renato do Nascimento Libardoni ◽  
Júlia Tramontini Schmitt ◽  
Aline Spode Padilha ◽  
Francisco Jorge Schulz Júnior ◽  
...  

ABSTRACT: The purpose of this study was to assess the use of a homemade multiport for LESS (laparoendoscopic single-site surgery) ovariohysterectomy (OVH) in cats. Intra and postoperative variables of the surgery steps, technical challenges, complications and evolution of surgical time by a surgeon in training were evaluated. Twenty queens were selected for LESS OVH. The multiport device was manufactured of a conical-shaped ethylene polytereftalate (PET) bottle, urethral catheter no. 8, latex balloon no. 11, a 3.5mm and a 6mm laparoscopic trocars. Hemostasis was carried out using bipolar diathermy. Mean total surgical time was 14.54±5.12 minutes. Approach to right and left ovarian pedicles and abdominal access for insertion of the multiport device were the most time consuming surgical steps. LESS ovariohysterectomy using a new homemade multiport device is feasible and safe. Thus, the proposed technique may be considered as a minimally invasive alternative to ovariohysterectomy in the feline specie.


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