1060 LAPAROENDOSCOPIC SINGLE-SITE PYELOPLASTY USING SILS PORT: FIRST RESULTS AND COMPARISON WITH THE STANDARD LAPAROSCOPIC TECHNIQUE

We present here the patient undergoing laparoendoscopic single-site (LESS) retroperitoneal radical nephrectomy while receiving hemodialysis. An 81-year-old man under hemodialysis for 6 years was incidentally discovered to have two left renal masses with acquired cystic disease of the kidney (ACDK). A 4-cm flank incision for GelPort was made. Three trocars were inserted into the retroperitoneum through GelPort. After division of the renal vessels and ureter, the kidney was placed into the extraction bag and was retrieved through flank incision without any extra skin incision. There were no intraoperative and postoperative complications. This procedure offers an effective, minimally invasive therapeutic alternative to the standard laparoscopic technique in high-risk end-stage renal disease patients.

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LAPAROENDOSCOPIC SINGLE-SITE PYELOPLASTY: A COMPARISON WITH THE STANDARD LAPAROSCOPIC TECHNIQUE

BJU International ◽

10.1111/j.1464-410x.2011.10153.x ◽

2011 ◽

Vol 107 (5) ◽

pp. 816-816 ◽

Cited By ~ 1

Author(s):

Prokar Dasgupta

Keyword(s):

Single Site ◽

Laparoscopic Technique ◽

Laparoendoscopic Single Site

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Laparoendoscopic Single-Site Surgery (LESS) for a Large Ovarian Tumour: First Clinical Case Report

Minimally Invasive Surgery ◽

10.1155/2011/105643 ◽

2011 ◽

Vol 2011 ◽

pp. 1-5 ◽

Cited By ~ 3

Author(s):

Yao Dong Chua ◽

Ying Woo Ng ◽

Yoke Fai Fong

Keyword(s):

Case Report ◽

Operative Time ◽

Ovarian Tumour ◽

Single Site ◽

Laparoscopic Technique ◽

Technical Adequacy ◽

Laparoendoscopic Single Site ◽

Laparoscopic Instruments ◽

Estimated Blood Loss ◽

Laparoendoscopic Single Site Surgery

Objective. To report the feasibility of removing a 10 cm ovarian fibroma via a laparoendoscopic single-site trocar through trans-umbilical access.Design. Case report.Setting. Teaching and research hospital.Patient. A 64-year-old patient affected by a large 10 cm ovarian tumour.Intervention(s). Bilateral salpingo-oophorectomy a large 10 cm ovarian tumour, using a laparoendoscopic single-site approach with a Covidien SILS multitrocar access device and standard laparoscopic instruments.Main Outcome Measure(s). Conversion to standard laparoscopic technique or laparotomy, estimated blood loss, operative time , extent of scarring, occurrence of intra- and perioperative surgical complications, technical adequacy, and clinical outcome.Result(s). No conversion to standard laparoscopic technique or laparotomy, and no intraoperative or postoperative complications were observed. Total operative time was 99 minutes. The patient was discharged home on postoperative day one.Conclusion(s). Laparoendoscopic single-site bilateral salpingo-oophorectomy of a large ovarian tumour is feasible with standard laparoscopic instruments. It is safe and effective, with good results in terms of excellent cosmesis and minimal postoperative pain.

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