834 A NEW STANDARD FOR MINIMALLY INVASIVE ABLATIVE PROCEDURES

Abstract

You have accessJournal of UrologyPediatrics: Stones/Tumors1 Apr 2012834 A NEW STANDARD FOR MINIMALLY INVASIVE ABLATIVE PROCEDURES Michael Santomauro, Sarah Marietti, Timothy Fairbanks, and George Chiang Michael SantomauroMichael Santomauro San Diego, CA More articles by this author , Sarah MariettiSarah Marietti San Diego, CA More articles by this author , Timothy FairbanksTimothy Fairbanks San Diego, CA More articles by this author , and George ChiangGeorge Chiang San Diego, CA More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.925AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES To describe our experience utilizing laparoendoscopic single-site surgery for a multitude of pediatric urology conditions. METHODS A retrospective chart review was performed on all Laparo-Endoscopic Single-Site (LESS) urologic procedures from November of 2009 through August of 2011. A total of 25 patients underwent 32 procedures including: nephrectomy (15), intra-abdominal orchiopexy (5), varicocelectomy (5), orchiectomy (3), urachal remnant excision (3), and ACE (1). RESULTS Patient age ranged from 1 to 15 years (ave 6.9 years old). Estimated blood loss (EBL), average: 5cc for varicocelectomy, 14.3 cc for the unilateral nephrectomy, and 46.25cc for the bilateral nephrectomy. Operative time also varied based on type of procedure performed ranging from an average of 80.4 min for a varicocelectomy, 82 mins for urachal cyst excision, 183.8 mins for a unilateral nephrectomy, and 328.5 minutes for a bilateral nephroureterectomy. The average incision length for all procedures ranged between 2.2 and 2.5 cm. A variety of single incision approaches based on procedure type and instrumentation were used effectively throughout the cases. All completed procedures were performed via the single incision and no peri-operative complications or conversions to standard laparoscopy were reported. One patient did require conversion to an open procedure as a result of bleeding that could not be resolved with conventional laparoscopy. CONCLUSIONS The use of LESS in pediatrics applies to many urologic procedures. Overall, we find it ideal for ablative procedures or simple reconstructive efforts. To our knowledge, this is the largest comprehensive series to date of LESS procedures performed in a pediatric urology population. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e340 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Michael Santomauro San Diego, CA More articles by this author Sarah Marietti San Diego, CA More articles by this author Timothy Fairbanks San Diego, CA More articles by this author George Chiang San Diego, CA More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...