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A Comparative Study of Laparoendoscopic Single-Site Surgery Versus Conventional Laparoscopy for Upper Urinary Tract Malignancies

Authors
 Jongchan Kim  ;  Ho Song Yu  ;  Kang Su Cho  ;  Woong Kyu Han  ;  Won Sik Ham 
Citation
 KOREAN JOURNAL OF UROLOGY, Vol.54(4) : 244-248, 2013 
Journal Title
KOREAN JOURNAL OF UROLOGY
ISSN
 2005-6737 
Issue Date
2013
Keywords
Laparoscopy ; Nephrectomy ; Renal cell carcinoma ; Ureteral neoplasms
Abstract
PURPOSE:
The proper indication for laparoendoscopic single-site surgery (LESS) in urology is still under debate, especially for malignant diseases. We compared the perioperative outcomes between LESS and conventional laparoscopy (CL) for upper urinary tract malignancies.
MATERIALS AND METHODS:
We reviewed the records of 75 patients who underwent radical nephrectomy, nephroureterectomy with bladder cuff excision, or partial nephrectomy with the LESS or CL approach between December 2008 and December 2010. We compared characteristics and perioperative outcomes between patients who underwent LESS or CL. All operations were performed by three surgeons using the transperitoneal approach.
RESULTS:
For all three surgery types, no differences in patient characteristics, estimated blood losses, transfusion rates, or durations of hospital stay were found between the two groups. No complications were found between the two groups in those who underwent nephroureterectomy with bladder cuff excision; however, significantly more complications were found in the LESS group than in the CL group in those who underwent radical nephrectomy or partial nephrectomy. Most of the complications with LESS radical nephrectomy occurred in the early introduction period of the technique.
CONCLUSIONS:
No significant differences in perioperative outcomes were found between the LESS and CL groups in those who underwent radical nephrectomy or nephroureterectomy with bladder cuff excision. Therefore, the use of LESS in these cases is expected to expand as surgeons gain more experience with this technique and as other technical advances in laparoscopic instruments occur. However, partial nephrectomy with LESS should be performed restrictively considering the current level of surgical skill.
Files in This Item:
T201301629.pdf Download
DOI
10.4111/kju.2013.54.4.244
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Jong Chan(김종찬) ORCID logo https://orcid.org/0000-0002-0022-6689
Yu, Ho Song(유호송)
Cho, Kang Su(조강수) ORCID logo https://orcid.org/0000-0002-3500-8833
Han, Woong Kyu(한웅규) ORCID logo https://orcid.org/0000-0002-2527-4046
Ham, Won Sik(함원식) ORCID logo https://orcid.org/0000-0003-2246-8838
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/86927
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