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Laparoendoscopic Single-Site Surgeries: A Single-Center Experience of 171 Consecutive Cases

PURPOSE: We report our experience to date with 171 patients who underwent laparoendoscopic single-site surgery for diverse urologic diseases in a single institution. MATERIALS AND METHODS: Between December 2008 and August 2010, we performed 171 consecutive laparoendoscopic single-site surgeries. The...

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Autores principales: Choi, Kyung Hwa, Ham, Won Sik, Rha, Koon Ho, Lee, Jae Won, Jeon, Hwang Gyun, Arkoncel, Francis Raymond P., Yang, Seung Choul, Han, Woong Kyu
Formato: Texto
Lenguaje:English
Publicado: The Korean Urological Association 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3037504/
https://www.ncbi.nlm.nih.gov/pubmed/21344028
http://dx.doi.org/10.4111/kju.2011.52.1.31
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author Choi, Kyung Hwa
Ham, Won Sik
Rha, Koon Ho
Lee, Jae Won
Jeon, Hwang Gyun
Arkoncel, Francis Raymond P.
Yang, Seung Choul
Han, Woong Kyu
author_facet Choi, Kyung Hwa
Ham, Won Sik
Rha, Koon Ho
Lee, Jae Won
Jeon, Hwang Gyun
Arkoncel, Francis Raymond P.
Yang, Seung Choul
Han, Woong Kyu
author_sort Choi, Kyung Hwa
collection PubMed
description PURPOSE: We report our experience to date with 171 patients who underwent laparoendoscopic single-site surgery for diverse urologic diseases in a single institution. MATERIALS AND METHODS: Between December 2008 and August 2010, we performed 171 consecutive laparoendoscopic single-site surgeries. These included simple nephrectomy (n=18; robotic surgeries, n=1), radical nephrectomy (n=26; robotic surgeries, n=2), partial nephrectomy (n=59; robotic surgeries, n=56), nephroureterectomy (n=20; robotic surgeries, n=12), pyeloplasty (n=4), renal cyst decortications (n=22), adrenalectomy (n=4; robotic surgeries, n=2), ureterolithotomy (n=10), partial cystectomy (n=3), ureterectomy (n=1), urachal mass excision (n=1), orchiectomy (n=1), seminal vesiculectomy (n=1), and retroperitoneal mass excision (n=1). All procedures were performed by use of a homemade single-port device with a wound retractor and surgical gloves. A prospective study was performed to evaluate outcomes in 171 cases. RESULTS: Of the 171 patients, 98 underwent conventional laparoendoscopic single-site surgery and 73 underwent robotic laparoendoscopic single-site surgery. Mean patient age was 53 years, mean operative time was 190.8 minutes, and mean estimated blood loss was 204 ml. Intraoperative complications occurred in seven cases (4.1%), and postoperative complications in nine cases (5.3%). There were no complications classified as Grade IIIb or higher (Clavien-Dindo classification for surgical complications). Conversion to mini-incision open surgery occurred in seven (4.1%) cases. Regarding oncologic outcomes, no cancer-related events occurred during follow-up other than one aggressive progression of Ewing sarcoma. CONCLUSIONS: Laparoendoscopic single-site surgery is technically feasible and safe for various urologic diseases; however, surgical experience and long-term follow-up are needed to test the superiority of laparoendoscopic single-site surgery.
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spelling pubmed-30375042011-02-22 Laparoendoscopic Single-Site Surgeries: A Single-Center Experience of 171 Consecutive Cases Choi, Kyung Hwa Ham, Won Sik Rha, Koon Ho Lee, Jae Won Jeon, Hwang Gyun Arkoncel, Francis Raymond P. Yang, Seung Choul Han, Woong Kyu Korean J Urol Original Article PURPOSE: We report our experience to date with 171 patients who underwent laparoendoscopic single-site surgery for diverse urologic diseases in a single institution. MATERIALS AND METHODS: Between December 2008 and August 2010, we performed 171 consecutive laparoendoscopic single-site surgeries. These included simple nephrectomy (n=18; robotic surgeries, n=1), radical nephrectomy (n=26; robotic surgeries, n=2), partial nephrectomy (n=59; robotic surgeries, n=56), nephroureterectomy (n=20; robotic surgeries, n=12), pyeloplasty (n=4), renal cyst decortications (n=22), adrenalectomy (n=4; robotic surgeries, n=2), ureterolithotomy (n=10), partial cystectomy (n=3), ureterectomy (n=1), urachal mass excision (n=1), orchiectomy (n=1), seminal vesiculectomy (n=1), and retroperitoneal mass excision (n=1). All procedures were performed by use of a homemade single-port device with a wound retractor and surgical gloves. A prospective study was performed to evaluate outcomes in 171 cases. RESULTS: Of the 171 patients, 98 underwent conventional laparoendoscopic single-site surgery and 73 underwent robotic laparoendoscopic single-site surgery. Mean patient age was 53 years, mean operative time was 190.8 minutes, and mean estimated blood loss was 204 ml. Intraoperative complications occurred in seven cases (4.1%), and postoperative complications in nine cases (5.3%). There were no complications classified as Grade IIIb or higher (Clavien-Dindo classification for surgical complications). Conversion to mini-incision open surgery occurred in seven (4.1%) cases. Regarding oncologic outcomes, no cancer-related events occurred during follow-up other than one aggressive progression of Ewing sarcoma. CONCLUSIONS: Laparoendoscopic single-site surgery is technically feasible and safe for various urologic diseases; however, surgical experience and long-term follow-up are needed to test the superiority of laparoendoscopic single-site surgery. The Korean Urological Association 2011-01 2011-01-24 /pmc/articles/PMC3037504/ /pubmed/21344028 http://dx.doi.org/10.4111/kju.2011.52.1.31 Text en © The Korean Urological Association, 2011 http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Choi, Kyung Hwa
Ham, Won Sik
Rha, Koon Ho
Lee, Jae Won
Jeon, Hwang Gyun
Arkoncel, Francis Raymond P.
Yang, Seung Choul
Han, Woong Kyu
Laparoendoscopic Single-Site Surgeries: A Single-Center Experience of 171 Consecutive Cases
title Laparoendoscopic Single-Site Surgeries: A Single-Center Experience of 171 Consecutive Cases
title_full Laparoendoscopic Single-Site Surgeries: A Single-Center Experience of 171 Consecutive Cases
title_fullStr Laparoendoscopic Single-Site Surgeries: A Single-Center Experience of 171 Consecutive Cases
title_full_unstemmed Laparoendoscopic Single-Site Surgeries: A Single-Center Experience of 171 Consecutive Cases
title_short Laparoendoscopic Single-Site Surgeries: A Single-Center Experience of 171 Consecutive Cases
title_sort laparoendoscopic single-site surgeries: a single-center experience of 171 consecutive cases
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3037504/
https://www.ncbi.nlm.nih.gov/pubmed/21344028
http://dx.doi.org/10.4111/kju.2011.52.1.31
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