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Transumbilical laparoendoscopic single-site surgery of simple nephrectomy of nonfunctioning kidney: a two-year experience

查看全文 作　　者：Wang Linhui Wu Zhenjie Liu Bing Yang Qing Chen Wei Sheng Haibo Xu Zunli Wang Cheng Sun [1]Yinghao 高影响力作者 机构地区：[1]Department of Urology, Changhai Hospital, Second Military Medical University, Shanghai 200433, China高影响力机构 出　　处：《Journal of Medical Colleges of PLA(China)》索引2011年第26卷第4期,共9页高影响力期刊 基　　金：Supported by the Military Major Project for Clinical High-tech and Innovative Technology of China (2010gxjs057);the Municipal Hospitals’ Project for Emerging and Frontier Technology of Shanghai (SHDC12010115);the Project for the Key Discipline of Shanghai 摘　　要：Background: Laparoendoscopic single-site surgery (LESS) may serve as a potential alternative to conventional laparoscopy and is developing quickly, but still in its infancy. The study is to present our two-year experience in transumbilical LESS simple nephrectomy (LESS-SN) for non-functioning kidney, in an effort to evaluate its feasibility, clinical outcomes and potential advantages. Methods: From December 2008 to December 2010, a total of 11 patients with body mass index (BMI) ≤30 underwent transumbilical TriPort TM LESS-SN by a single experienced urologist at our institution. The indications for nephrectomy included nonfunctioning kidney associated with ureteropelvic junctionstricture (n=1), ureteral calculi (n=6), tuberculosis (n=3), and ureteral stricture (n=1). Patient demographics, perioperative and follow-up data were prospectively collected and analyzed. Results: Ten procedures were successfully completed with one patient converted to open surgery due to uncontrollable bleeding. The mean operative time was 189.2 (ranging 100~320 min) with an estimated blood loss of 204.5 (ranging 50-1 000 ml). There were two complications of bleeding (1- intra-, 1- post-). The mean hospitalization after surgery was 7.9 d (ranging 4-17 d). With a regular follow-up of 1, 6, 12, and 24 months after surgery, all patients remained symptom-free with an intra-umbilical scar. Conclusion: Transumbilical LESS simple nephrectomy for nonfunctioning kidney can be accomplished with favorable surgical outcomes and a superiority of cosmesis. However, cases with chronic inflammation are not suitable for initial up-take and should only be attempted by the very experienced laparoscopist. 关 键 词：围手术期 肾脏 无功 输尿管结石 临床疗效 质量指数 人口统计 美容效果
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