scholarly journals First experience of laparoscopic kidney cyst resection by a single access method

2021 ◽  
Vol 3 (2) ◽  
pp. 48-50
Author(s):  
Alexee V. Baranov ◽  
Dmitriy N. Panchenkov ◽  
Marina E. Behteva ◽  
Basil N. Shirshov
Keyword(s):  
Laparoscopic Surgery ◽  
Clinical Experience ◽  
Renal Cyst ◽  
Access Method ◽  
Single Access ◽  
Kidney Cyst

We describe the first clinical experience of laparoscopic surgery for renal cyst by a single access. Advantages, disadvantages and prospects of this method are analized.

scholarly journals Single-Access Laparoscopic Rectal Surgery Is Technically Feasible

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Siripong Sirikurnpiboon ◽  
Paiboon Jivapaisarnpong
Keyword(s):  
Rectal Cancer ◽  
Laparoscopic Surgery ◽  
Total Mesorectal Excision ◽  
Perioperative Complications ◽  
Rectal Surgery ◽  
Anal Canal Cancer ◽  
Mesorectal Excision ◽  
Single Access ◽  
Laparoscopic Rectal Surgery ◽  
The Mean

Introduction. Single-access laparoscopic surgery (SALS) has been successfully introduced for colectomy surgery; however, for mid to low rectum procedures such as total mesorectal excision, it can be technically complicated. In this study, we introduced a single-access technique for rectum cancer operations without the use of other instruments.Aims. To show the short-term results of single-access laparoscopic rectal surgery in terms of pathologic results and immediate complications.Settings and Design. Prospective study.Materials and Methods. We selected middle rectum to anal canal cancer patients to undergo single-access laparoscopic rectal resection for rectal cancer. All patients had total mesorectal excisions. An umbilical incision was made for the insertion of a single multichannel port, and a mesocolic window was created to identify the inferior mesenteric artery and vein. Total mesorectal excision was performed. There were no perioperative complications. The mean operative time was 269 minutes; the median hospital stay was 7 days; the mean wound size was 5.5 cm; the median number of harvested lymph nodes was 15; and all patients had intact mesorectal capsules.Statistical Analysis Used. Mean, minimum–maximum.Conclusion. Single-access laparoscopic surgery for rectal cancer is feasible while oncologic principles and patient safety are maintained.

scholarly journals Laparoscopic Urological Surgery: Our Initial Experiences

2020 ◽  
Vol 23 (1) ◽  
pp. 17-23
Author(s):  
Shiba Prasad Nandy ◽  
AKM Akramul Bari ◽  
Anirban Ghose ◽  
Hasmot Ali Mia ◽  
Md Alamgir ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Hospital Stay ◽  
Radical Nephrectomy ◽  
Open Surgery ◽  
Renal Cyst ◽  
Conversion To Open Surgery ◽  
Cyst Excision ◽  
Excellent Outcome ◽  
Duration Of Surgery ◽  
The Mean

Introduction and Objective: Laparoscopic surgery is increasingly exercised in urology due to improvements in technical capabilities and experience. It comes with many advantages compared to open surgery such as lesser degree of pain and haemorrhage, shorter hospital stay and better cosmetic results. This study is carried out to evaluate the outcomes and complications of urological laparoscopic surgery cases performed Chittagong Medical College Hospital, Chattogram, Bangladesh. Methods: This was a hospital based prospective observational study of total 29 patients, who received laparoscopic surgery of different kinds between January 2017 and September 2019 for urological causes with a minimum one month follow-up. Included patients were assessed in terms of demographic characteristics, preoperative diagnosis, type of laparoscopic approach, duration of surgery and hospitalization, complications after surgery and need for conversion to open surgery. Results: The mean age was 45.03 years where 12 patients were women and 17 were male. All patients underwent trans-peritoneal procedures where2 patients received renal cyst excision, 4 simple nephrectomy, 5 ureterolithotomy, 9 radical nephrectomy, 1 radical cystectomy, 2 adrenalectomy, 3 pyelolithotomy and 3 pyeloplasty. Three of the 29 patients required conversion to open surgery. Except these patients, no major complication or mortality was encountered. The mean duration of surgery for the most commonly applied procedures were as follows: renal cyst excision 87.5 (70-105) min, simple nephrectomy 141.25 (120-170) min, ureterolithotomy 120 (100-140) min, radical nephrectomy 215.56 (180-260) min, pyelolithotomy 120 (100-140) min, and pyeloplasty 156.67 (130-190) min. The mean hospital stay was 4.59±1.7 (2-8) days. Conclusions: The success and complications rate of the laparoscopic urological surgeries performed in our hospital were consistent with those reported in the literature. In the light of technological advances and increasing experience, we believe that laparoscopic surgery is an effective technique with excellent outcome along with a safe and feasible alternative to open surgery in the field of urology. Bangladesh Journal of Urology, Vol. 23, No. 1, January 2020 p.17-23

scholarly journals Comparison of Survival between Single-Access and Conventional Laparoscopic Surgery in Rectal Cancer

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Siripong Sirikurnpiboon
Keyword(s):  
Rectal Cancer ◽  
Laparoscopic Surgery ◽  
Local Recurrence ◽  
Demographic Data ◽  
Transanal Total Mesorectal Excision ◽  
Recurrence Rates ◽  
Conventional Laparoscopic Surgery ◽  
Single Access ◽  
Conventional Laparoscopic ◽  
Conversion Rates

Introduction. Innovative laparoscopic surgery for rectal cancer can be classified into 2 types: firstly, new instruments such as robotic surgery and secondly, new technique such as single-access laparoscopic surgery (SALS) and transanal total mesorectal excision (TaTME). Most reports of SALS for rectal cancer have shown pathologic outcomes comparable to those of conventional laparoscopic surgery (CLS); however, SALS is considered to be superior to CLS in terms of lower levels of discomfort and faster recovery rates. This study aimed to compare the survival outcomes of the two approaches. Methods. From 2011 to 2014, 84 cases of adenocarcinoma of the rectum and anal canal were enrolled. The operations were anterior, low anterior, intersphincteric, and abdominoperineal resections. Data collected included postoperative outcomes. The oncological outcomes recorded included 3-year and 5-year survival, local recurrence, and metastasis. Results. SALS was performed on 41 patients, and CLS was utilized in 43 cases. The demographic data of the two groups were similar. Intraoperative volumes of blood loss and conversion rates were similar, but operative time was longer in the SALS group. There were no significant differences in postoperative complications or pathological outcomes. The oncologic results were similar in terms of 3-year survival (100% and 97.7%; p  = 1.00), 5-year survival (78.0% and 86.0%; p  = 0.401), local recurrence rates (19.5% vs 11.6%, p  = 0.376), and metastasis rates (19.5% vs 11.6%; p  = 0.376) for SALS and CLS, respectively. Conclusion. SALS and CLS for rectal and anal cancer had comparable pathological and survival results, but SALS showed some superior benefits in the early postoperative period.

scholarly journals Ginkgolide B inhibits renal cyst development in in vitro and in vivo cyst models

2012 ◽  
Vol 302 (10) ◽  
pp. F1234-F1242 ◽  
Author(s):  
Hong Zhou ◽  
Jinsheng Gao ◽  
Li Zhou ◽  
Xin Li ◽  
Weidong Li ◽  
...  
Keyword(s):  
Mouse Model ◽  
Cell Viability ◽  
Intracellular Signaling ◽  
Renal Cyst ◽  
Cyst Formation ◽  
Mapk Signaling ◽  
Ginkgolide B ◽  
Inherited Disease ◽  
Kidney Cyst ◽  
Cyst Development

Autosomal dominant polycystic kidney disease (ADPKD) is a common inherited disease characterized by massive enlargement of fluid-filled cysts in the kidney. However, there is no effective therapy yet for this disease. To examine whether ginkgolide B, a natural compound, inhibits cyst development, a Madin-Darby canine kidney (MDCK) cyst model, an embryonic kidney cyst model, and a PKD mouse model were used. Interestingly, ginkgolide B significantly inhibited MDCK cyst formation dose dependently, with up to 69% reduction by 2 μM ginkgolide B. Ginkgolide B also significantly inhibited cyst enlargement in the MDCK cyst model, embryonic kidney cyst model, and PKD mouse model. To determine the underlying mechanisms, the effect of ginkgolide B on MDCK cell viability, proliferation, apoptosis, chloride transporter CFTR activity, and intracellular signaling pathways were also studied. Ginkgolide B did not affect cell viability, proliferation, and expression and activity of the chloride transporter CFTR that mediates cyst fluid secretion. Ginkgolide B induced cyst cell differentiation and altered the Ras/MAPK signaling pathway. Taken together, our results demonstrate that ginkgolide B inhibits renal cyst formation and enlargement, suggesting that ginkgolide B might be developed into a novel candidate drug for ADPKD.

scholarly journals Enhancing safety of laparoscopic surgery in COVID-19 era: clinical experience with low-cost filtration devices

2020 ◽  
Vol 46 (4) ◽  
pp. 731-735 ◽  
Author(s):  
Mauro Zago ◽  
Selman Uranues ◽  
Marco Enoc Chiarelli ◽  
Samuele Grandi ◽  
Luca Andrea Fumagalli ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Clinical Experience ◽  
Low Cost

Clinical urological laparoscopy: Renal cyst resection, spermatic vein ligation and pelvic lymphadenectomy

1992 ◽  
Vol 59 (1_suppl) ◽  
pp. 15-16
Author(s):  
E. Austoni ◽  
G. Zanetti ◽  
A. Trinchieri ◽  
A. Maggioni ◽  
E. Montanari ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Lymph Node ◽  
Laparoscopic Surgery ◽  
Lymph Node Dissection ◽  
Renal Cyst ◽  
Pelvic Lymphadenectomy ◽  
Pelvic Lymph Node Dissection ◽  
Spermatic Vein ◽  
Node Dissection ◽  
Laparoscopic Procedures

The recent expansion and acceptance of laparoscopic surgery have led us to perform urological laparoscopic procedures. We describe our experience with large renal cyst resection, spermatic vein ligation for varicocele and staging pelvic lymph node dissection for localized prostate cancer. We performed renal cyst resection in 4 patients, spermatic vein ligation for varicocele in 6 patients and pelvic lymphadenectomy in 6 patients. The procedures are effective and decrease postoperative morbility.

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