The Feasibility of Laparoendoscopic Single-Site Nephrectomy: Initial Experience Using Home-made Single-port Device

Han, Woong Kyu; Park, Yong Hyun; Jeon, Hwang Gyun; Jeong, Wooju; Rha, Koon Ho; Choi, Hwang; Kim, Hyeon Hoe

doi:10.1016/j.urology.2009.10.038

Cited by 59 publications

(39 citation statements)

References 12 publications

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“…17 Many researchers have reported on techniques used to reduce the number of ports required to perform safe laparoscopic surgery. 18 Although several efforts have been made to further reduce invasiveness in laparoscopic adrenalectomy, at the end of the procedure, an incision was mandatory for specimen retrieval. 19 The most common position for access in LESS surgery has been the umbilicus for its cosmetic benefits.…”

Section: Discussionmentioning

confidence: 99%

Patient-reported satisfaction and cosmesis outcomes following laparoscopic adrenalectomy: laparoendoscopic single-site adrenalectomy vs. conventional laparoscopic adrenalectomy

Inoue

Ikeda

Kobayashi

et al. 2014

CUAJ

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Section: Discussionmentioning

confidence: 99%

Patient-reported satisfaction and cosmesis outcomes following laparoscopic adrenalectomy: laparoendoscopic single-site adrenalectomy vs. conventional laparoscopic adrenalectomy

Inoue

Ikeda

Kobayashi

et al. 2014

CUAJ

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“…Initial clinical experience with LESS nephrectomy using a homemade single-port device was also reported [35]. An Alexis wound retractor was inserted at the umbilicus, and a surgical glove was installed over the outer ring of the wound retractor.…”

Section: Access Devicesmentioning

confidence: 99%

“…[46,68] Slightly difficult Lack of specifically designed cryoprobes. High Simple nephrectomy [11,12,33,35,36,39,40] Fairly difficult Besides cosmetic advantages, other benefits for the patient still need to be fully demonstrated.…”

Section: 4mentioning

confidence: 99%

Laparoendoscopic Single-site and Natural Orifice Transluminal Endoscopic Surgery in Urology: A Critical Analysis of the Literature

et al. 2011

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LESS Natural orifice transluminal endoscopic surgery NOTES Robotics UrologyPlease visit www.eu-acme.org/ europeanurology to read and answer questions on-line. The EU-ACME credits will then be attributed automatically. AbstractContext: Natural orifice transluminal endoscopic surgery (NOTES) and laparoendoscopic single-site surgery (LESS) have been developed to benefit patients by enabling surgeons to perform scarless surgery. Objective: To summarize and critically analyze the available evidence on the current status and future perspectives of LESS and NOTES in urology. Evidence acquisition: A comprehensive electronic literature search was conducted in June 2010 using the Medline database to identify all publications relating to NOTES and LESS in urology. Evidence synthesis: In urology, NOTES has been completed experimentally via transgastric, transvaginal, transcolonic, and transvesical routes. Initial clinical experience has shown that NOTES urologic surgery using currently available instruments is indeed possible. Nevertheless, because of the immaturity of the instrumentation, early cases have demanded high technical virtuosity. LESS can safely and effectively be performed in a variety of urologic settings. As clinical experience increases, expanding indications are expected to be documented and the efficacy of the procedure to improve. So far, the quality of evidence of all available studies remains low, mostly being small case series or casecontrol studies from selected centers. Thus, the only objective benefit of LESS remains the improved cosmetic outcome. Prospective, randomized studies are largely awaited to determine which LESS procedures will be established and which are unlikely to stand the test of time. Technology advances hold promise to minimize the challenging technical nature of scarless surgery. In this respect, robotics is likely to drive a major paradigm shift in the development of LESS and NOTES. Conclusions: NOTES is still an investigational approach in urology. LESS has proven to be immediately applicable in the clinical field, being safe and feasible in the hands of experienced laparoscopic surgeons. Development of instrumentation and application of robotic technology are expected to define the actual role of these techniques in minimally invasive urologic surgery.

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“…A műtétek elvégezhetők nyíltan, gyakorlott operatőr esetén laparoszkóposan, retroperitoneoscoposan vagy akár LESS-technikával is [19,20]. A gyógyszeres kezelés pontosan lefektetett szigorú szabályaitól eltérően a mű-tétes kezelés maximálisan individualizált.…”

Section: áBraunclassified

A nagy imitátor

et al. 2016

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A szerzők két vesetuberculosis esetét ismertetik, amelyekben a tényleges diagnózis késett az aspecifikus vagy más betegséget utánzó tünetek miatt. Az első beteget bal oldali derékfájdalom és láz miatt vizsgálták. Komputertomográfia bal oldali zsugorvesét; retrográd pielográfia kaliberingadozó uretert, a vesében margarétajelet igazolt. A vizelettenyésztés Mycobacterium tuberculosist mutatott ki. Az antituberculoticus kezelés indítása után két hónappal a vesét eltávolították. A második beteget antibiotikum-kezelésre nem múló láz miatt vizsgálták. Az ultrahangvizsgálaton bal oldali pyelectasia, pyelonkő és perirenalis abscessus ábrázolódott. A vesét deviálták, a tályogot pungálták és drenálták. A kiürülő gennyből Proteus morganii tenyészett ki. Antibiotikum hatására láza és panaszai megszűntek. Két hónappal később perzisztáló pyelonephritis miatt a dupla J-katétert kicserélték. Egy héttel később intravénás antibiotikum-kezelésre sem szűnő láz miatt végzett komputertomográfia a bal vese tályogos átalakulását mutatta ki, ezért nephrectomiát végeztek. A szövettani vizsgálat igazolta a vesetuberculosist. A két eset kapcsán a szerzők összefoglalják a vesetuberculosis diagnosztikáját és terápiáját. Orv. Hetil., 2016, 157(9), 350-356. Kulcsszavak: tuberculosis, urogenitalis tuberculosis, vesetuberculosis, nephrectomia The Great Imitator Case reportAuthors present two patients suffering from renal tuberculosis, which caused differential diagnostic problems. The first patient was examined because of fever and left flank pain. Computed tomography revealed renal shrinkage on the left side. Retrograde pyelography demonstrated ureteric stricture and dilated calices. Urine culture showed Mycobacterium tuberculosis. Two months after initiation of the antituberculotic therapy nephrectomy was performed. The second patient was referred to the department because of fever after unsuccessful antibiotic treatment. Ultrasound examination showed a staghorn stone, dilated renal pelvis and perirenal abscess on the left side. Double J catheter insertion and percutaneous puncture of the abscess were performed. Culture of the pus aspirated proved Proteus morganii. Fever and complaints of the patient relieved after antibiotic treatment. Two months later double J catheter was changed because of persistent pyelonephritis. One week later the patient returned to the hospital with fever, which could not be reduced with intravenous antibiotics. Computed tomography showed purulent fluid in the left kidney, and nephrectomy was performed. Histology revealed renal tuberculosis. The authors summarize the diagnosis and treatment of renal tuberculosis on the basis of these two cases. Rövidítések BCG = bacillus Calmette-Guérin; CRP = C-reaktív protein; CT = komputertomográfia; DJ-katéter = dupla J-katéter; DNS = dezoxiribonukleinsav; FVS = fehérvérsejtszám; GFR = glomerularis filtrációs ráta; HE = hematoxilin-eozin; HIV = human immunodeficiency virus; INH = izonikotinsav-hidrazid; LESS = laparoendoscopic single site surgery; MR = mág-neses rezonanciás képalk...

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The Feasibility of Laparoendoscopic Single-Site Nephrectomy: Initial Experience Using Home-made Single-port Device

Cited by 59 publications

References 12 publications

Patient-reported satisfaction and cosmesis outcomes following laparoscopic adrenalectomy: laparoendoscopic single-site adrenalectomy vs. conventional laparoscopic adrenalectomy

Patient-reported satisfaction and cosmesis outcomes following laparoscopic adrenalectomy: laparoendoscopic single-site adrenalectomy vs. conventional laparoscopic adrenalectomy

Laparoendoscopic Single-site and Natural Orifice Transluminal Endoscopic Surgery in Urology: A Critical Analysis of the Literature

A nagy imitátor

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