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Laparoendoscopic single-site surgery for benign urologic disease with a homemade single port device: design and tips for beginners.

Authors
 Joo Yong Lee  ;  Dong Hyuk Kang  ;  Seung Wook Lee  ;  Jung Ki Jo  ;  Jae Hoon Chung 
Citation
 Korean Journal of Urology, Vol.53(3) : 165-170, 2012 
Journal Title
 Korean Journal of Urology 
ISSN
 2005-6737 
Issue Date
2012
Abstract
PURPOSE: A single surgeon skilled in conventional laparoscopic surgery used laparoendoscopic single-site surgery (LESS) to treat benign urological diseases. This study reports our surgical results and introduces a simple technique with tips based on our experience. MATERIALS AND METHODS: LESS surgery was performed on 116 patients by use of a homemade single-port device composed of an Alexis wound retractor and a powder-free surgical glove. Cases were 44 varicocelectomies (including 8 bilateral cases), 38 renal cyst marsupializations (including 3 bilateral cases), 26 ureterolithotomies (with 1 concomitant ureterolithotomy and contralateral renal cyst marsupialization), 4 prostatic enucleations, and 4 bladder rupture repairs. The mean patient age was 44.43±16.46 years (range, 11 to 76 years), and the male-to-female ratio was 87:29. RESULTS: In one ureterolithotomy case, LESS was converted to conventional laparoscopic surgery. The mean operative time was 87.03±45.03 minutes, the estimated blood loss was 61.90 ml (range, 0 to 2,000 ml), and the mean hospital stay was 3.03±2.12 days. Two patients underwent single-port transvesical enucleation of the prostate (STEP) requiring patient-controlled anesthesia. No patients developed major complications, and all patients were satisfied, with 75.86% expressing a high degree of satisfaction. CONCLUSIONS: We report successful treatment outcomes for LESS in 116 cases of benign urological disease. Our findings suggest that LESS can replace conventional laparoscopy.
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/91362
DOI
10.4111/kju.2012.53.3.165
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실)
Yonsei Authors
이주용(Lee, Joo Yong)
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