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- Title
Pfannenstiel laparoendoscopic reduced-port radical nephrectomy.
- Authors
Yamasaki, Mutsushi; Shin, Toshitaka; Sato, Ryuta; Hirai, Kenichi; Kan, Tomoko; Fujinami, Hiroyuki; Mori, Kenichi; Sumino, Yasuhiro; Nomura, Takeo; Sato, Fuminori; Masuda, Hitoshi; Yonese, Junji; Mimata, Hiromitsu
- Abstract
Introduction We previously reported cases of laparoendoscopic single-site nephrectomy performed through an umbilical or pararectal incision. To improve cosmesis and operability, we performed three Pfannenstiel laparoendoscopic reduced-port nephrectomies. Materials and Surgical Technique In the first case, a GelPOINT access was placed through a 2-cm umbilical incision, and two additional 3-mm trocars were inserted. The specimen was extracted through a 4-cm Pfannenstiel incision. In the second and third cases, a GelPOINT access was placed through a 5-cm Pfannenstiel incision, and two additional 3-mm trocars were inserted. The specimens were extracted without additional skin incisions. In all cases, the endoscope and vessel-sealing device were inserted through the GelPOINT access. We used 3-mm scissors, dissecting forceps, and bipolar forceps. Discussion The operating time and estimated blood loss were 228, 280, and 155 min and 10, 410, and 5 mL, respectively. There were no intraoperative or postoperative complications. The 3-mm forceps showed similar efficacy as the conventional 5-mm forceps. Therefore, a Pfannenstiel reduced-port nephrectomy using 3-mm working trocars is a safe and feasible procedure with good cosmesis.
- Subjects
NEPHRECTOMY; ENDOSCOPIC surgery; FORCEPS; SURGICAL complications; BLOOD loss estimation
- Publication
Asian Journal of Endoscopic Surgery, 2016, Vol 9, Issue 3, p222
- ISSN
1758-5902
- Publication type
Article
- DOI
10.1111/ases.12290