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Laparo-Endoscopic Single-Site Surgery for Radical and Cytoreductive Nephrectomy, Renal Vein Thrombectomy, and Partial Nephrectomy : A Prospective Pilot Evaluation
Joint Authors
Kane, Christopher J.
Kopp, Ryan
Derweesh, Ithaar H.
Downs, Tracy M.
Bazzi, Wassim M.
Silberstein, Jonathan L.
Source
Diagnostic and Therapeutic Endoscopy
Issue
Vol. 2010, Issue 2010 (31 Dec. 2010), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2010-06-07
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Introduction.
Laparo-endoscopic single-site surgery (LESS) may diminish morbidity of laparoscopic surgery.
We prospectively evaluated feasibility and outcomes of LESS-Radical Nephrectomy (LESS-RN) and Partial Nephrectomy (LESS-PN).
Methods.
10 patients underwent LESS-RN (6) and LESS-PN (4) between 2/2009-5/2009.
LESS-RN included 2 with renal vein thrombectomy, one of which was also cytoreductive.
Transperitoneal LESS access was obtained by periumbilical incision.
Patient/tumor characteristics, oncologic, and quality of life (QoL) outcomes were analyzed.
Results.
3 Men/7 Women (mean age 58.7 years, median follow-up 9.8 months) underwent LESS.
9/10 cases were completed successfully.
All had negative margins.
Mean operative time was 161 minutes, estimated blood loss was 125 mL, and incision size was 4.4 cm.
Median tumor size for LESS-RN and -PN was 5.0 and 1.7 cm (P=.045).
Median LESS-PN ischemia time was 24 minutes; mean preoperative/postoperative creatinine were 0.7/0.8 mg/dL (P=.19).
Mean pain score at discharge was 1.3.
Mean preoperative, 3-, and 6-month postoperative SF-36 QoL Score was 73.8, 74.4 and 77.1 (P=.222).
All patients are currently alive.
Conclusions.
LESS-RN, renal vein thrombectomy, and PN are technically feasible and safe while maintaining adherence to oncologic principles, with excellent QoL preservation and low discharge pain scores.
Further study is requisite.
American Psychological Association (APA)
Derweesh, Ithaar H.& Silberstein, Jonathan L.& Bazzi, Wassim M.& Kopp, Ryan& Downs, Tracy M.& Kane, Christopher J.. 2010. Laparo-Endoscopic Single-Site Surgery for Radical and Cytoreductive Nephrectomy, Renal Vein Thrombectomy, and Partial Nephrectomy : A Prospective Pilot Evaluation. Diagnostic and Therapeutic Endoscopy،Vol. 2010, no. 2010, pp.1-8.
https://search.emarefa.net/detail/BIM-446975
Modern Language Association (MLA)
Derweesh, Ithaar H.…[et al.]. Laparo-Endoscopic Single-Site Surgery for Radical and Cytoreductive Nephrectomy, Renal Vein Thrombectomy, and Partial Nephrectomy : A Prospective Pilot Evaluation. Diagnostic and Therapeutic Endoscopy No. 2010 (2010), pp.1-8.
https://search.emarefa.net/detail/BIM-446975
American Medical Association (AMA)
Derweesh, Ithaar H.& Silberstein, Jonathan L.& Bazzi, Wassim M.& Kopp, Ryan& Downs, Tracy M.& Kane, Christopher J.. Laparo-Endoscopic Single-Site Surgery for Radical and Cytoreductive Nephrectomy, Renal Vein Thrombectomy, and Partial Nephrectomy : A Prospective Pilot Evaluation. Diagnostic and Therapeutic Endoscopy. 2010. Vol. 2010, no. 2010, pp.1-8.
https://search.emarefa.net/detail/BIM-446975
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-446975