Case Report: Symptomatic Port-Site Hernia Associated with a Non-Bladed Trocar after Laparoscopic Live-Donor Nephrectomy

Lowry, Patrick S.; Moon, Timothy D.; D’Alessandro, Anthony M.; Nakada, Stephen Y.

doi:10.1089/089277903769013649

Cited by 99 publications

(54 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…16,17 Recently, as a new step to reduce the invasiveness of standard laparoscopy, 5,6 LESS was introduced and applied in the clinical practice. Only one small incision was needed in this procedure, which has good cosmetic effect in the skin and was welcome by a certain number of patients.…”

Section: Discussionmentioning

confidence: 99%

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: 99%

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

“…However, 3-4 laparoscopic ports are required in laparoscopic and retroperitoneoscopic adrenalectomy, and the more working ports are established, the more morbidities occur, such as pain, bleeding, hernia and/or internal organ damage, and even undesirable cosmesis [5,6,10]. Recently, surgeons have proposed limiting the number of surgical incisions, as in LESS, or eliminating surgical incisions, as in natural orifice transluminal endoscopic surgery [7].…”

Section: Discussionmentioning

confidence: 99%

“…Laparoendoscopic single-site surgery (LESS) is an advanced revolutionary laparoscopy method in an attempt to reduce port-related morbidity such as bleeding, pain, incisional hernia and internal organ damage [5,6] and to improve aesthetics [7,8]. Since the first pioneering experiences [9], several radical and reconstructive urological surgeries have been described and shown to be feasible and safely performed with LESS.…”

Section: Introductionmentioning

confidence: 99%

Laparoendoscopic Single-Site Retroperitoneoscopic Adrenalectomy versus Conventional Retroperitoneoscopic Adrenalectomy: Initial Experience by the Same Laparoscopic Surgeon

Sheng¹,

Yeh²,

Wu³

et al. 2013

Urol Int

View full text Add to dashboard Cite

Purpose: The purpose of this study was to demonstrate our initial experience with and the feasibility of laparoendoscopic single-site retroperitoneoscopic adrenalectomy (LESS-RA). Patients and Methods: 54 patients undergoing conventional retroperitoneoscopic adrenalectomy were compared with 27 patients undergoing LESS-RA. The adrenal tumors were considered to be benign preoperatively and <6 cm. Age, sex, laterality, body mass index, surgical indications, time to resuming oral intake, tumor size, operation time, estimated blood loss, intravenous or intramuscular analgesics (pethidine) and postoperative hospital stay were compared between the two groups. Analysis of covariance was applied to analyze postoperative hospital stay and time to resuming oral intake. Results: The length of postoperative hospital stay was significantly higher in the conventional retroperitoneoscopic adrenalectomy group in the adjusted and unadjusted model. The time to resuming oral intake was significant shorter in the LESS-RA group, but was not significant after adjusting opioid analgesics dosage. No conversions to an open or conventional retroperitoneoscopic approach were necessary. There were neither complications nor blood transfusions in both groups. Conclusions: LESS-RA for benign adrenal tumors is a feasible surgical procedure when tumors are <6 cm. Further clinical research is warranted to define the role of LESS in adrenal surgery and to prove its efficacy over conventional laparoscopic surgery.

show abstract

“…However, most laparoscopic approaches require three to six incisions which are larger (5, 10/12 mm) ports inserted through commensurately sized skin incisions for tissue retraction, and the necessary triangulation of the surgeon's right and left hand instruments for the surgical dissection [4]. These ports risk morbidity from bleeding, hernia and/or internal organ damage and incrementally decrease cosmesis [5,6]. In an effort to reduce these sequelae of laparoscopy, single-port laparoscopic surgery has been coined as one minimally invasive approach for urologic disorders.…”

Section: Introductionmentioning

confidence: 99%

Single-Port Laparoscopic Retroperitoneal Surgery Using a Modified Single-Port Device in Urology

Shi¹,

Cai²,

Dong³

et al. 2013

Urol Int

View full text Add to dashboard Cite

Objectives: To investigate the use of a flexible instrument platform in performing single-port laparoscopic retroperitoneal urologic surgeries and to verify the safety and feasibility of these surgeries. Methods: The homemade instrument platform consisted of two control loops and a powder-free surgical glove to form multichannels. 56 patients underwent this kind of single-port surgery for different urologic diseases, including radical nephrectomy in 31 patients, nephroureterectomy in 7 patients, partial nephrectomy in 8 patients, living donor nephrectomy in 4 patients, adrenalectomy in 3 patients, renal cyst surgery in 2 patients and ureterolithotomy in 1 patient. Results: All surgeries were completed successfully with no switch to conventional laparoscopic or open surgery. The mean hospital stay was 13.13 days (range 6-36). All patients were satisfied without major complications. Conclusions: Retroperitoneal laparoendoscopic single-site surgery using our cost-effective homemade instrument platform appears to be a feasible and safe surgical strategy to perform retroperitoneal laparoscopic urologic surgery.

show abstract

Case Report: Symptomatic Port-Site Hernia Associated with a Non-Bladed Trocar after Laparoscopic Live-Donor Nephrectomy

Cited by 99 publications

References 3 publications

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

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

Laparoendoscopic Single-Site Retroperitoneoscopic Adrenalectomy versus Conventional Retroperitoneoscopic Adrenalectomy: Initial Experience by the Same Laparoscopic Surgeon

Single-Port Laparoscopic Retroperitoneal Surgery Using a Modified Single-Port Device in Urology

Contact Info

Product

Resources

About