Laparoendoscopic single-site surgery for pediatric patients in urology

Kawauchi, Akihiro; Naitoh, Yasuyuki; Miki, Tsuneharu

doi:10.1097/mou.0b013e3283468d40

Cited by 16 publications

(7 citation statements)

References 17 publications

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“…The operation method has been described elsewhere . Briefly, patients were placed in the lateral position under general anesthesia.…”

Section: Methodsmentioning

confidence: 99%

“…The operation method has been described elsewhere. 4,9 Briefly, patients were placed in the lateral position under general anesthesia. After making a 1.5 to 2.5-cm incision in the umbilicus, a Triport (Olympus, New York, NY, USA) or a single-incision laparoscopic surgery port (Covidien, Mansfield, MA, USA) was inserted.…”

Section: Laparoendoscopic Single-site Pyeloplasty Surgical Methodsmentioning

confidence: 99%

“…8 Furthermore, the use of LESS surgery for pediatric urology was also evaluated, and appeared to be a reasonable treatment option. [9][10][11][12][13] We have applied LESS and conventional laparoscopic pyeloplasty to both children and adults. Meanwhile, there has been no report comparing the utility of LESS and conventional laparoscopic surgery for both adults and pediatric patients.…”

Section: Introductionmentioning

confidence: 99%

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Laparoendoscopic single‐site versus conventional laparoscopic pyeloplasty: A matched pair analysis

et al. 2014

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Objective:To compare the outcomes of laparoendoscopic single-site pyeloplasty versus those of conventional laparoscopic pyeloplasty. Methods: A total of 26 laparoendoscopic single-site pyeloplasty cases carried out in University Hospital: Kyoto Prefectural University of Medicine, Kyoto, Japan, from 2008 to 2013 were compared with a control group of 26 age-matched laparoscopic pyeloplasty cases carried out during the same study period. Results: The mean age of the patients was 20.4 years (range 1-56 years). Laparoendoscopic single-site pyeloplasty was carried out on the right in nine cases and on the left in 17 cases. The operative time was 246 ± 68 min. Regarding the 14 pediatric patients, the mean age was 7.1 years (range 1-14 years). The operative time was 243 ± 49 min. As for the 12 adult patients, the mean age was 35.8 years (range 16-56 years). The operative time was 248 ± 86 min. The mean operative time of the control group in age-matched laparoscopic pyeloplasty was 239 ± 51 min. Times were 229 ± 54 min for the pediatric patients and 253 ± 45 min for the adult patients. There was no significant difference in the operative time between the control group and the laparoendoscopic single-site group for both adults and children. Blood loss was minimal, and no intraoperative and postoperative complications were observed in the 26 laparoendoscopic single-site pyeloplasty cases. Conclusion:The present findings suggest that laparoendoscopic single-site pyeloplasty can be used in both pediatric and adult patients, offering a superior cosmetic outcome than conventional laparoscopic pyeloplasty, and a lower degree of postoperative pain. A largescale prospective, randomized study is required to confirm these findings, and to define the future role of laparoendoscopic single-site pyeloplasty.

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“…The operation method has been described elsewhere . Briefly, patients were placed in the lateral position under general anesthesia.…”

Section: Methodsmentioning

confidence: 99%

Section: Laparoendoscopic Single-site Pyeloplasty Surgical Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Laparoendoscopic single‐site versus conventional laparoscopic pyeloplasty: A matched pair analysis

et al. 2014

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“…Since the first description of LESS surgery in the pediatric urological population [13], various authors have shared their experiences and results. However, most of the reports were case reports and initial small case series [14,15,16,17,18,19]. To our knowledge, we report the largest case series of LESS surgery in pedi-atric urology that includes 73 children who had 85 LESS procedures.…”

Section: Discussionmentioning

confidence: 99%

Laparoendoscopic Single-Site (LESS) Surgery in Pediatric Urology: A 4-Year Experience

Zouari¹,

Dhaou²,

Ammar³

et al. 2019

Current Urology

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Objective: The aim of the study was to assess the feasibility and outcomes of pediatric urological laparoendoscopic single-site (LESS) surgery. Materials and Methods: We retrospectively collected charts of all patients who underwent LESS procedures in our department from January 2013 to December 2016. Data included demographic characteristics, type of procedures, intraoperative details, hospital stay, and complications. The umbilicus was used as the surgical site in all cases. All procedures were performed with a homemade glove port and standard straight 3- or 5-mm laparoscopic instruments. Results: Seventy-three patients (55 males, 18 females) were identifed. Procedures included 46 orchidop-exies, 21 pyeloplasties, 8 varicocelectomies, 3 nephrecto-mies, 3 nephroureterectomies, 3 orchiectomies, and 1 renal hydatid cyst treatment. Median operative time for the entire cohort was 47 min (range 26-156 min). There was no signifcant intraoperative blood loss. No conversion to conventional laparoscopy or open surgery was needed. All patients required paracetamol postoperatively. The mean follow-up was 18 months. Two patients had testicular atrophy after a Fowler-Stephens procedure and 1 patient had testicular reascension. Cosmetic results were excellent. Forty-five (62.5%) patients were discharged on the day of surgery. Conclusion: Our study demonstrated that LESS surgery using our glove port technique and conventional laparoscopic instruments is a feasible and safe technique for the surgical management of various pediatric urological conditions.

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“…This newer technique is even less invasive than conventional laparoscopy, and it is safe and effective with a single 10 -15mm incision. But it needs more cases and comparison with conventional laparoscopy (20). For this reason we describe the conventional laparoscopic varicocelectomy.…”

Section: Indication For Treatmentmentioning

confidence: 99%

Laparoscopic Varicocelectomy

Shamsa¹

2011

Advanced Laparoscopy

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Laparoendoscopic single-site surgery for pediatric patients in urology

Abstract: LESS for pediatric patients in urology is feasible but has just begun, and the number of cases experienced is still small. Further clinical evaluation including a large-scale study and comparison with standard laparoscopic surgery will reveal the true efficacy of this novel procedure.

Cited by 16 publications

References 17 publications

Laparoendoscopic single‐site versus conventional laparoscopic pyeloplasty: A matched pair analysis

Laparoendoscopic single‐site versus conventional laparoscopic pyeloplasty: A matched pair analysis

Laparoendoscopic Single-Site (LESS) Surgery in Pediatric Urology: A 4-Year Experience

Laparoscopic Varicocelectomy

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