Safety Study of Umbilical Single-port Laparoscopic Radical Prostatectomy with a New DuoRotate System

Cáceres, F.; Cabrera, P.; García-Tello, A.; García-Mediero, J.M.; Angulo, Javier C.

doi:10.1016/j.eururo.2012.04.043

Cited by 37 publications

(19 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In fact, the simultaneous implementation of a multichannel port in the navel and a small-caliber accessory port standardizes a new umbilical approach through which a wide assortment of complex surgical urological techniques can be performed, including radical prostatectomy and partial nephrectomy [18,19,20]. This umbilical approach with small-caliber accessory port has also been reported for ureteroneocystostomy and partial cystectomy [20,21,22].…”

Section: Discussionmentioning

confidence: 99%

“…The use of one or several accessory ports (3-3.5-mm) represents the ideal complement to LESS surgery, facilitating the angulation and performance of sutures and helping transition from conventional laparoscopy to LESS [27]. Likewise, the temporary placement of marionette sutures for bladder, colon or uterine retraction causes no scarring and facilitates the procedure [18,21]. …”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Two-Port Laparoscopic Reconstructive Surgery of the Urinary Tract with Reusable Umbilical System (Hybrid Less): A Proof of Concept Study

Angulo

Pérez²,

García-Tello³

et al. 2016

Urol Int

Self Cite

View full text Add to dashboard Cite

Objectives: We compared perioperative results and complications of reconstructive surgery of the urinary tract performed using a multichannel platform through the umbilicus and one additional 3.5-mm with a cohort of patients simultaneously treated with conventional 4-port laparoscopy. Materials and Methods: Matched-pair study comparing perioperative outcomes, postoperative visual analogue pain scale (VAPS) and morbidity of 2-port (n = 20) and 4-port (n = 10) laparoscopic reconstructive urological surgery. Preoperative and perioperative data compared included demographics, type of surgery, operative time, blood loss, decrease in serum hemoglobin, operative complications, length of stay and postoperative complications according to Clavien-Dindo classification. Results: There was no significant difference between groups regarding age, gender, body mass index, American Society of Anesthesiologists score, type of surgery, operative time, operative complications and intraoperative or postoperative transfusion. Estimated blood loss was lower using reduced-port approach. VAPS at postoperative day one was significantly lower for 2-port approach and so was the length of stay. Patient satisfaction with the wound was higher for 2-port surgery. Differences were not observed in number and severity of postoperative complications. Conclusions: Urological reconstructive operations can be safely performed using the hybrid laparoendoscopic single-site umbilical approach, resulting in lower blood loss, higher patient satisfaction and lower postoperative pain, which also facilitate earlier hospital discharge, than the same reconstructive procedures performed through multiport conventional laparoscopy.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Two-Port Laparoscopic Reconstructive Surgery of the Urinary Tract with Reusable Umbilical System (Hybrid Less): A Proof of Concept Study

Angulo

Pérez²,

García-Tello³

et al. 2016

Urol Int

Self Cite

View full text Add to dashboard Cite

show abstract

“…On the one hand, LESS RP is considered challenging. On the other hand, it is reported as feasible, less invasive and with better cosmetic effect [1]. Therefore, LESS RP is a technique that deserves application and popularization; it is characterized by a long learning curve and needs further training.…”

Section: Introductionmentioning

confidence: 99%

Laparoendoscopic Single-Site Urethrovesical Anastomosis Training in an Economical Porcine Model

et al. 2013

Urol Int

View full text Add to dashboard Cite

Purpose: To develop an economical animal model for laparoendoscopic single-site surgery (LESS) urethrovesical anastomosis (UVA) training. Materials and Methods: A homemade single-port device was used and the uterus cervix and the ileum were chosen to simulate UVA to reduce costs. Ten trainees were randomly divided into two groups: the conventional LESS UVA (CLUVA) group and the transurethral assistant LESS UVA (TALUVA) group. In TALUVA, a laparoscopic forceps was inserted through the urethra to assist operation after the bladder neck was disconnected, whereas CLUVA followed the conventional steps. Anastomosis time and knotting time were recorded, and the learning curves of both groups were analyzed. After training, questionnaires were given to the trainees to assess the difficulties and the satisfaction of the training. Results: The final mean operating time significantly declined in both groups. Except for the first lesson, the trainees in the TALUVA group operated faster than those in the other group. The results from the questionnaires show that all trainees were satisfied with the training, and LESS UVA was considered more difficult in the CLUVA group than in the TALUVA group. Conclusions: The female porcine model for LESS UVA was feasible and cost-effective. TALVUA could effectively reduce the difficulties involved in LESS UVA.

show abstract

“…Entre las tecnologías para cirugía de mínima invasión, la que tiene mayor auge en la última década es la laparoscopia por puerto único, cuyas indicaciones actuales se limitan a las cirugías más comunes, como colecistectomías 16,17 y apendicectomías 18,19 ; sin embargo, la literatura médica reciente poco a poco ha demostrado su utilidad en intervenciones sobre otros órganos, como adrenales, colon, y riñón 12,20,21 .…”

Section: Discussionunclassified

Drenaje de absceso hepático amebiano por laparoscopia de puerto único. Reporte de un caso

Telich-Tarriba

Parrao-Alcántara

Montes-Hernández

et al. 2015

Cirugía y Cirujanos

View full text Add to dashboard Cite

show abstract

Safety Study of Umbilical Single-port Laparoscopic Radical Prostatectomy with a New DuoRotate System

Cited by 37 publications

References 25 publications

Two-Port Laparoscopic Reconstructive Surgery of the Urinary Tract with Reusable Umbilical System (Hybrid Less): A Proof of Concept Study

Two-Port Laparoscopic Reconstructive Surgery of the Urinary Tract with Reusable Umbilical System (Hybrid Less): A Proof of Concept Study

Laparoendoscopic Single-Site Urethrovesical Anastomosis Training in an Economical Porcine Model

Drenaje de absceso hepático amebiano por laparoscopia de puerto único. Reporte de un caso

Contact Info

Product

Resources

About