Laparoscopic Nephrectomy
with Vaginal Delivery of the
Intact Kidney

Breda, G.; Silvestre, Pasquale; Giunta, Angelo Di; Xausa, D.; Tamai, A.; Gherardi, L.

doi:10.1159/000474276

Cited by 98 publications

(41 citation statements)

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“…The vagina has been proposed as a viable route for kidney retrieval following laparoscopic nephrectomies more than a decade ago. 9 In 2002, Gill et al reported the initial series employing this 33 There were no perioperative complications, and both patients were discharged 36 h after the surgery.…”

Section: Early Human Experience: From Hybrid To Pure Urological Notesmentioning

confidence: 99%

“…The event prompting experimental evaluation of urological NOTES was the description of vaginal extraction of an intact surgical specimen following laparoscopic radical nephrectomy. 9 The first experimental application of NOTES was reported by Gettman et al describing a successful transvaginal nephrectomy in the pig. 10 Indeed , this work predated the acronym NOTES as well as the first recognized NOTES report by Kalloo et al in the gastroenterology literature.…”

Section: Introductionmentioning

confidence: 99%

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Current status and future perspectives in laparoendoscopic single‐site and natural orifice transluminal endoscopic urological surgery

et al. 2010

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Objective of this study is to provide an evidence-based analysis of the current status and future perspectives of scarless urological surgery. A PubMed search has been performed for all relevant urological literature regarding natural orifice transluminal endoscopic surgery (NOTES) and laparoendoscopic single-site surgery (LESS). In addition, experience with LESS and NOTES at our own institution has been considered. All clinical and investigative reports for LESS and NOTES procedures in the urological literature have been considered. A wide variety of clinical procedures in urology have been succesfully completed by using LESS techniques. Thus far, experience with NOTES has largely been investigational, although early clinical reports are emerging. Further development of instrumentation and platforms is necessary for both techniques to become more widely adopted throughout the urological community.

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Section: Early Human Experience: From Hybrid To Pure Urological Notesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Current status and future perspectives in laparoendoscopic single‐site and natural orifice transluminal endoscopic urological surgery

et al. 2010

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“…One of the most important factors when performing NOTES is the secure closure of the portal. As mentioned, the vagina is suitable for specimen extraction [3,4], and its closure is safely performed using standard surgical techniques, as demonstrated in gynecologic literature. Performing transvaginal surgery allows for in-line direct visualization of upper-tract urologic organs, allowing the use of rigid instruments and minimizing difficulties with spatial orientation.…”

Section: Clinical Application In Urologymentioning

confidence: 99%

“…In 1993, vaginal extraction of an intact kidney following laparoscopic radical nephrectomy (LRN) was first described by Breda et al [3]. In 2002, Gill et al reported an LRN series employing this natural orifice specimen extraction [4].…”

Section: Introductionmentioning

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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“…The clinical event prompting experimental evaluation of urologic NOTES was the description of vaginal extraction of an intact surgical specimen following laparoscopic radical nephrectomy [8,9]. In 2002, Gettman et al described the first experimental application of natural orifice surgery when transvaginal nephrectomy was successfully performed in the porcine model [10].…”

mentioning

confidence: 99%

Consensus Statement on Natural Orifice Transluminal Endoscopic Surgery and Single-Incision Laparoscopic Surgery: Heralding a New Era in Urology?

et al. 2008

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Laparoscopic Nephrectomy with Vaginal Delivery of the Intact Kidney

Cited by 98 publications

References 1 publication

Current status and future perspectives in laparoendoscopic single‐site and natural orifice transluminal endoscopic urological surgery

Current status and future perspectives in laparoendoscopic single‐site and natural orifice transluminal endoscopic urological surgery

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

Consensus Statement on Natural Orifice Transluminal Endoscopic Surgery and Single-Incision Laparoscopic Surgery: Heralding a New Era in Urology?

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