Retroperitoneal Laparoendoscopic Single-Site Surgery: Preliminary Experience in Kidney and Ureteral Indications

Micali, Salvatore; Isgrò, Gianmarco; Stefani, Stefano De; Pini, Giovannalberto; Sighinolfi, Maria Chiara; Bianchi, G

doi:10.1016/j.eururo.2010.08.002

Cited by 30 publications

(21 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The mean blood loss was 30.7 mL, less than the 37.5 to 101.7 mL reported. 4,7 As described by other reports, 6,14 surgical experience is an important factor for better efficacy of laparoscopy. In this study, the operative time and complication rate in both groups of this study did not differ significantly.…”

Section: Discussionmentioning

confidence: 89%

“…4,7 The average operative time was 132.7 minutes in the LESS group, less than the 155.3 to 176.7 minutes reported. The mean blood loss was 30.7 mL, less than the 37.5 to 101.7 mL reported.…”

Section: Discussionmentioning

confidence: 98%

“…2,3 In recent years, laparoendoscopic single-site (LESS) surgery has been developed. It improves cosmesis in the skin by placing all instruments through a 2 to 3 cm incision [4][5][6] and has been demonstrated to be feasible and effective in treating ureteral calculi in selected patients. 7,8 Until now, many cases of LESS ureterolithotomies reported were performed through the transperitoneal approach.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Retroperitoneal Laparoendoscopic Single-Site Ureterolithotomy: A Comparison with Conventional Laparoscopic Surgery

Wen

Liu

Huang

et al. 2012

Journal of Endourology

View full text Add to dashboard Cite

Background and Purpose: Laparoendoscopic single-site (LESS) surgery through the retroperitoneal approach has been seldom reported. We aimed to compare the feasibility and outcomes of LESS and conventional laparoscopic surgery via the retroperitoneal approach in the management of large, impacted ureteral stones. Patients and Methods: From June 2010 to May 2011, LESS ureterolithotomy through the retroperitoneal approach was performed in 10 patients (the LESS group). Another 15 patients who underwent conventional retroperitoneal laparoscopic ureterolithotomy (the conventional laparoscopic group) by the same surgeon were involved and compared. The operative time, complications, and surgical outcomes were evaluated. Results: All the operations were completed successfully, without conversion to conventional laparoscopic or open surgeries. The operative time of the LESS group and of the conventional laparoscopic group were 132.7 -16.3 and 128.1 -20.1 minutes, respectively (P = 0.782). The estimated blood loss were 30.7 -5.9 vs 28.0 -4.5 mL (P = 0.620). Duration of analgesia postoperatively was 2.0 -0.8 vs 3.5 -0.5 days (P = 0.005). All targeted stones were successfully extracted without major complications. Postoperative urine leakage was noted in one patient in each group. Cosmetic results were superior in the LESS group according to both the study nurse's and the patients' assessments (8.5 vs 5.3; P = 0.012, and 8.3 vs 5.6; P = 0.025, respectively). All patients showed no obstructions or stricture formations on postoperative follow-up. Conclusions: In experienced hands, LESS for ureterolithotomy through the retroperitoneal approach is feasible and can acquire outcomes equal to those of conventional multiport laparoscopic surgery. Prospective long-term follow-up studies with a larger number of patients are needed to further evaluate its benefits.

show abstract

Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Retroperitoneal Laparoendoscopic Single-Site Ureterolithotomy: A Comparison with Conventional Laparoscopic Surgery

Wen

Liu

Huang

et al. 2012

Journal of Endourology

View full text Add to dashboard Cite

show abstract

“…Ryu et al [12] reported 14 successful cases of retroperitoneal LESS surgery using a homemade single-port device, with only 2 patients undergoing ureterolithotomy. A study by Micali et al [13] included 11 patients who were treated by LESS surgery, 3 of whom underwent retroperitoneal LESS ureterolithotomy using TriPort and a 5-mm flexible laparoscope. Wen et al [14] reported their initial experience with retroperitoneal LESS ureterolithotomy in 10 patients, and the authors retrospectively compared the surgical outcomes with conventional laparoscopic ureterolithotomy.…”

Section: Discussionmentioning

confidence: 99%

“…Many LESS ureterolithotomies have been performed using the transperitoneal approach [9,10,11]. However, only a few cases of retroperitoneal LESS ureterolithotomy have been reported [12,13,14]. In this retrospective study, we report our experience and evaluate the feasibility and safety of retroperitoneal LESS ureterolithotomy for the management of large, proximal ureteral stones.…”

Section: Introductionmentioning

confidence: 99%

Our Experience with Retroperitoneal Laparoendoscopic Single-Site Ureterolithotomy

Wu¹,

Xu²,

Yu³

et al. 2014

Urol Int

View full text Add to dashboard Cite

Aim: To report our experience with retroperitoneal laparoendoscopic single-site (LESS) ureterolithotomy for the management of large proximal ureteral stones. Patients and Methods: From July 2011 to April 2012, 20 patients underwent retroperitoneal LESS ureterolithotomy. The indications for the operation were impacted upper ureteral stones larger than 15 mm. A reusable elastic single-port device with 3 working channels was inserted through the 2.5-cm incision at the midpoint between the costal arch and iliac crest on the mid-axillary line. A rigid 10-mm 30° extra-long laparoscope was introduced for monitoring, and a combination of lengthened pre-bent and conventional laparoscopic instruments was used for handling. The surgical procedure was similar to conventional retroperitoneal laparoscopic ureterolithotomy. Results: Retroperitoneal LESS ureterolithotomy was completed in all of the patients. The mean stone size was 18.8 mm (range 16-28). The mean operative time was 108 min (range 75-140). Significant bleeding was not observed, and no major intraoperative complications occurred in any of the patients. The mean hospital stay was 4.4 days (range 3-7). Conclusions: Retroperitoneal LESS ureterolithotomy, using a reusable elastic single-port device, is technically feasible and safe, and the combination of conventional and pre-bent laparoscopic instruments represents an attractive option for retroperitoneal LESS.

show abstract

Laparoscopic Treatment of Renal Cysts and Diverticula

Micali

Martorana

Pirola

et al. 2018

Smith's Textbook of Endourology

View full text Add to dashboard Cite

Retroperitoneal Laparoendoscopic Single-Site Surgery: Preliminary Experience in Kidney and Ureteral Indications

Cited by 30 publications

References 6 publications

Retroperitoneal Laparoendoscopic Single-Site Ureterolithotomy: A Comparison with Conventional Laparoscopic Surgery

Retroperitoneal Laparoendoscopic Single-Site Ureterolithotomy: A Comparison with Conventional Laparoscopic Surgery

Our Experience with Retroperitoneal Laparoendoscopic Single-Site Ureterolithotomy

Laparoscopic Treatment of Renal Cysts and Diverticula

Contact Info

Product

Resources

About