V869 NEPHROURETERECTOMY BY SINGLE INCISION LAPAROSCOPIC SURGERY

Abstract

You have accessJournal of UrologyOncology (TCC & Adrenal) & Teaching Techniques1 Apr 2012V869 NEPHROURETERECTOMY BY SINGLE INCISION LAPAROSCOPIC SURGERY Rajinder Yadav, Manish Kulshreshtha, Nitin Sharma, and Vipul Agrawal Rajinder YadavRajinder Yadav New Delhi, India More articles by this author , Manish KulshreshthaManish Kulshreshtha New Delhi, India More articles by this author , Nitin SharmaNitin Sharma New Delhi, India More articles by this author , and Vipul AgrawalVipul Agrawal New Delhi, India More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.963AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Since the first laparoscopic surgery in urology in 1990s, it has been used for treatment of a variety of urologic disorders. The benefits are well recognized & known to everyone. Single Incision Laparoscopic Surgery (SILS) is a progression in technologic advances with a aim to achieve these advantages a step further. We present a case of 55 yr female with Lt flank pain. Investigation revealed a dysmorphic, non-functioning kidney with Gd 4 VUR. SILS nephro-ureterectomy was performed transperitoneally. METHODS With patients in 70-degree lateral position, through a 2cm periumblical incision, a Size 7 surgical glove was inserted. Two 5mm ports & one 10 mm port were introduced through the fingers of the glove. The procedure was carried out using regular laparoscopic working instruments, scope & camera. Standard Nephroureterctomy was done. The specimen was removed via the umbilical incision, intact. A 18 Fr drain was left in place and fixed through the periumbilical incision. RESULTS The duration of surgery was 130 min. The blood loss was minimal (30ml). No blood transfusion was required. The drain was removed on POD2. Pt did not require post-op analgesia. She was discharged on POD3, with return to normal activity after 3 days. CONCLUSIONS Single Incision Laparoscopic Surgery (SILS) is an emerging sub-specialty of Lap-urology gaining acceptance & popularity very quickly. Till date, publications have shown that the results of SILS in urology are promising and have been at least comparable to standard surgery. Further technological advances with regards to instrumentation and retraction should facilitate implementation of this surgical platform and improve the learning curve thus allowing more urologists to feel comfortable with it, especially reconstructive surgeries. Although SILS nephrectomy may offer a subjective cosmetic advantage, validated patient-outcome questionnaires are necessary to more objectively address this end point. Prospective comparison between SILS and conventional laparoscopic nephrectomy is needed to more clearly define its role. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e354 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Rajinder Yadav New Delhi, India More articles by this author Manish Kulshreshtha New Delhi, India More articles by this author Nitin Sharma New Delhi, India More articles by this author Vipul Agrawal New Delhi, India More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...