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Laparoendoscopic single‐site surgery for urachal remnant with extraperitoneal approach through a suprapubic port

INTRODUCTION: No standard procedure has been established for laparoendoscopic single‐site surgery for urachal remnants (LESS‐U). This study aimed to report the novel surgical techniques and initial outcomes of laparoendoscopic single‐site surgery with an extraperitoneal approach through a suprapubic...

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Autores principales: Hoshi, Akio, Chihara, Ichiro, Shiga, Masanobu, Nitta, Satoshi, Nagumo, Yoshiyuki, Sakka, Shotaro, Kojo, Kosuke, Ikeda, Atsushi, Yoshino, Takayuki, Kimura, Tomokazu, Kawahara, Takashi, Kandori, Shuya, Negoro, Hiromitsu, Nishiyama, Hiroyuki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons Australia, Ltd 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9313573/
https://www.ncbi.nlm.nih.gov/pubmed/35307970
http://dx.doi.org/10.1111/ases.13056
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author Hoshi, Akio
Chihara, Ichiro
Shiga, Masanobu
Nitta, Satoshi
Nagumo, Yoshiyuki
Sakka, Shotaro
Kojo, Kosuke
Ikeda, Atsushi
Yoshino, Takayuki
Kimura, Tomokazu
Kawahara, Takashi
Kandori, Shuya
Negoro, Hiromitsu
Nishiyama, Hiroyuki
author_facet Hoshi, Akio
Chihara, Ichiro
Shiga, Masanobu
Nitta, Satoshi
Nagumo, Yoshiyuki
Sakka, Shotaro
Kojo, Kosuke
Ikeda, Atsushi
Yoshino, Takayuki
Kimura, Tomokazu
Kawahara, Takashi
Kandori, Shuya
Negoro, Hiromitsu
Nishiyama, Hiroyuki
author_sort Hoshi, Akio
collection PubMed
description INTRODUCTION: No standard procedure has been established for laparoendoscopic single‐site surgery for urachal remnants (LESS‐U). This study aimed to report the novel surgical techniques and initial outcomes of laparoendoscopic single‐site surgery with an extraperitoneal approach through a suprapubic port for urachal remnants (spLESS). METHODS: Fifty‐five patients (median age, 27 years; range, 15–69 years) who underwent LESS‐U were analyzed. To overcome the limitations inherent in the conventional procedure (LESS‐U through an umbilical port: uLESS), we modified the port placement and approached via the extraperitoneal space. spLESS is a novel procedure which reduces intestinal damage caused by the extraperitoneal approach and overcomes incomplete resection of the urachal remnant, especially in the bladder dome. Three trocars are inserted into the extraperitoneal space through a suprapubic port in spLESS, and complete resection of the urachal remnant from the umbilicus to the bladder is performed with an appropriate incision line. Patient characteristics and perioperative results were retrospectively collected. Cosmetic outcomes were prospectively evaluated using self‐administered questionnaires (body image and photo‐series questionnaire). RESULTS: spLESS and uLESS were performed in 43 and 12 patients, respectively. No differences were observed between the perioperative results. The cosmetic outcomes were compared between the groups using body image and photo‐series questionnaires. No patient developed major complications; there was no recurrence in either group. CONCLUSIONS: spLESS is a novel procedure which can completely resect the urachal remnant and reduce the risk of intestinal damage. spLESS is a safe, effective, and feasible procedure with high postoperative cosmesis.
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spelling pubmed-93135732022-07-30 Laparoendoscopic single‐site surgery for urachal remnant with extraperitoneal approach through a suprapubic port Hoshi, Akio Chihara, Ichiro Shiga, Masanobu Nitta, Satoshi Nagumo, Yoshiyuki Sakka, Shotaro Kojo, Kosuke Ikeda, Atsushi Yoshino, Takayuki Kimura, Tomokazu Kawahara, Takashi Kandori, Shuya Negoro, Hiromitsu Nishiyama, Hiroyuki Asian J Endosc Surg Original Articles INTRODUCTION: No standard procedure has been established for laparoendoscopic single‐site surgery for urachal remnants (LESS‐U). This study aimed to report the novel surgical techniques and initial outcomes of laparoendoscopic single‐site surgery with an extraperitoneal approach through a suprapubic port for urachal remnants (spLESS). METHODS: Fifty‐five patients (median age, 27 years; range, 15–69 years) who underwent LESS‐U were analyzed. To overcome the limitations inherent in the conventional procedure (LESS‐U through an umbilical port: uLESS), we modified the port placement and approached via the extraperitoneal space. spLESS is a novel procedure which reduces intestinal damage caused by the extraperitoneal approach and overcomes incomplete resection of the urachal remnant, especially in the bladder dome. Three trocars are inserted into the extraperitoneal space through a suprapubic port in spLESS, and complete resection of the urachal remnant from the umbilicus to the bladder is performed with an appropriate incision line. Patient characteristics and perioperative results were retrospectively collected. Cosmetic outcomes were prospectively evaluated using self‐administered questionnaires (body image and photo‐series questionnaire). RESULTS: spLESS and uLESS were performed in 43 and 12 patients, respectively. No differences were observed between the perioperative results. The cosmetic outcomes were compared between the groups using body image and photo‐series questionnaires. No patient developed major complications; there was no recurrence in either group. CONCLUSIONS: spLESS is a novel procedure which can completely resect the urachal remnant and reduce the risk of intestinal damage. spLESS is a safe, effective, and feasible procedure with high postoperative cosmesis. John Wiley & Sons Australia, Ltd 2022-03-20 2022-07 /pmc/articles/PMC9313573/ /pubmed/35307970 http://dx.doi.org/10.1111/ases.13056 Text en © 2022 The Authors. Asian Journal of Endoscopic Surgery published by Asia Endosurgery Task Force and Japan Society of Endoscopic Surgery and John Wiley & Sons Australia, Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Original Articles
Hoshi, Akio
Chihara, Ichiro
Shiga, Masanobu
Nitta, Satoshi
Nagumo, Yoshiyuki
Sakka, Shotaro
Kojo, Kosuke
Ikeda, Atsushi
Yoshino, Takayuki
Kimura, Tomokazu
Kawahara, Takashi
Kandori, Shuya
Negoro, Hiromitsu
Nishiyama, Hiroyuki
Laparoendoscopic single‐site surgery for urachal remnant with extraperitoneal approach through a suprapubic port
title Laparoendoscopic single‐site surgery for urachal remnant with extraperitoneal approach through a suprapubic port
title_full Laparoendoscopic single‐site surgery for urachal remnant with extraperitoneal approach through a suprapubic port
title_fullStr Laparoendoscopic single‐site surgery for urachal remnant with extraperitoneal approach through a suprapubic port
title_full_unstemmed Laparoendoscopic single‐site surgery for urachal remnant with extraperitoneal approach through a suprapubic port
title_short Laparoendoscopic single‐site surgery for urachal remnant with extraperitoneal approach through a suprapubic port
title_sort laparoendoscopic single‐site surgery for urachal remnant with extraperitoneal approach through a suprapubic port
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9313573/
https://www.ncbi.nlm.nih.gov/pubmed/35307970
http://dx.doi.org/10.1111/ases.13056
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