Guidelines for urological laparoscopic surgery

Tanaka, Masatoshi; Ono, Yoshinari; Matsuda, Tadashi; Terachi, Toshiro; Suzuki, Kazuo; Baba, Shirō; Hara, Isao; Hirao, Yoshihiko

doi:10.1111/j.1442-2042.2008.02218.x

Cited by 23 publications

(16 citation statements)

References 113 publications

(424 reference statements)

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“…[38][39][40] In the hands of skilled surgeons, laparoscopic adrenalectomy shows equal efficacy to open surgery with regards to outcome and improvements in short-term hospital stay and recovery. 39,41 However, open surgery should be considered for large or invasive masses. Ultimately, it will depend on the skill set of the surgeon as to which procedure should be employed.…”

Section: Surgerymentioning

confidence: 99%

Guidelines for the management of the incidentally discovered adrenal mass

Kapoor¹,

Morris²,

Rebello³

2011

cuaj

114

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Section: Surgerymentioning

confidence: 99%

Guidelines for the management of the incidentally discovered adrenal mass

Kapoor¹,

Morris²,

Rebello³

2011

cuaj

114

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“…After one gland had been excised, the patient was repositioned for removal of the contralateral gland. An anterior transperitoneal approach was adopted for right‐side lesions, whereas a lateral transperitoneal approach was used for left‐side lesions according to the recommendations of the guidelines published by Japanese Society of Endourology 10 . When patients had a prior history of abdominal surgery, a lateral retroperitoneal approach was used.…”

Section: Methodsmentioning

confidence: 99%

“…An anterior transperitoneal approach was adopted for right-side lesions, whereas a lateral transperitoneal approach was used for left-side lesions according to the recommendations of the guidelines published by Japanese Society of Endourology. 10 When patients had a prior history of abdominal surgery, a lateral retroperitoneal approach was used. We chose 8 mmHg carbon dioxide insufflation with a 30°(peritoneal) or 0°(retroperitoneal) telescope.…”

Section: Methodsmentioning

confidence: 99%

Laparoscopic simultaneous bilateral adrenalectomy: Assessment of feasibility and potential indications

Kawasaki¹,

Ishidoya²,

Kaiho³

et al. 2011

Int J of Urology

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Objective: To report a single-center experience with laparoscopic simultaneous bilateral adrenalectomy (LSBA) and to evaluate its safety, surgical outcomes, and potential indications of the procedure. Methods: A total of 21 patients underwent LSBA between 2000 and 2010 at our institution. Four patients had bilateral Cushing's syndrome (CS), two had bilateral pheochromocytoma, and one had a bilateral metastatic tumor. Eleven patients had unilateral or bilateral aldosterone-producing adenoma (APA), associated with CS or subclinical CS. Three patients had unilateral APA with contralateral non-functioning adenoma. Partial adrenalectomy was performed first by using with four ports. After the excision of one gland , the contralateral gland was removed after repositioning of the patient. Results: LSBA was completed in all 21 patients without major complications. Mean operative time was 329.7 min and the estimated blood loss was 94.1 mL. Mean tumor size was 21.8 mm. Of the 16 patients receiving an adrenal-sparing procedure, nine of 11 discontinued glucocorticoid replacement after 2 years. The remaining five patients receiving bilateral total adrenalectomy required 0.5-0.75 mg of dexamethasone permanently. No open conversions, no deaths or no adrenal insufficiencies were encountered. Conclusions: LSBA represents a safe and viable treatment option for selected patients with bilateral adrenal disease.

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“…For colorectal cancer, laparoscopic surgery began to be performed around 1992, and this surgery is now listed in the guidelines as a standard procedure 1) . In addition, for renal cancer, laparoscopic surgery began to be performed around 1990, and this surgery is considered to be the standard procedure for stage I renal cancer with 7 cm or shorter tumor diameter in the guidelines for urological laparoscopic surgery in 2008 2) . Along with the development of laparoscopic surgery for both cancers, several cases of simultaneous laparoscopic surgery for multiple organs have been reported since 2004 9) .…”

Section: Discussionmentioning

confidence: 99%

Simultaneous Laparoscopic Colectomy and Nephrectomy for Synchronous Ascending Colon Cancer and Right Kidney Cancer: Report of a Case

Takahashi

Ichikawa

Honjo

et al. 2014

Juntendo Medical Journal

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Laparoscopic surgery has been widely applied to various surgical procedure, becoming standard procedure for colorectal and kidney cancer. Here, we describe a case of simultaneous laparoscopic surgery for synchronous colorectal and kidney cancer. A 70-year-old female was diagnosed with a tumor in the right lower abdomen. An abdominal CT showed tumors in the ascending colon and the right kidney. A colonoscopy demonstrated ascending colon cancer, and the patient was diagnosed synchronous ascending colon and right kidney cancer. Laparoscopic surgery was performed in cooperation with urologists. A right hemicolectomy was performed first at a lithotomy position. A right radical nephrectomy was then performed after changing to the left lateral position. The operation time was 450 minutes, and the blood loss was 60 ml. Chylous ascites were confirmed, but conservatively improved after surgery. Although synchronous colorectal and kidney cancers have not been confirmed in many cases, it is estimated that such synchronous cancers will increase with the aging of society and development of improved diagnostic imaging techniques. Therefore, simultaneous laparoscopic surgery is a safe and minimally invasive procedure with detailed surgical planning and a sophisticated surgical technique, including ensured port setting and body positioning, in cooperation with urologists.

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Guidelines for urological laparoscopic surgery

Cited by 23 publications

References 113 publications

Guidelines for the management of the incidentally discovered adrenal mass

Guidelines for the management of the incidentally discovered adrenal mass

Laparoscopic simultaneous bilateral adrenalectomy: Assessment of feasibility and potential indications

Simultaneous Laparoscopic Colectomy and Nephrectomy for Synchronous Ascending Colon Cancer and Right Kidney Cancer: Report of a Case

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