You have accessJournal of UrologySingle Port Surgery1 Apr 2012V2156 LAPAROSCOPIC SINGLE-SITE RIGHT NEPHRECTOMY OF A LARGE HYDRONEPHROTIC KIDNEY. GELPOINT DEVICE Ramiro Cabello, Cristina Quicios, Nasser Amaruch, Paula Charry, and Carmen González Ramiro CabelloRamiro Cabello Madrid, Spain More articles by this author , Cristina QuiciosCristina Quicios Madrid, Spain More articles by this author , Nasser AmaruchNasser Amaruch Madrid, Spain More articles by this author , Paula CharryPaula Charry Madrid, Spain More articles by this author , and Carmen GonzálezCarmen González Madrid, Spain More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.2328AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Laparoscopic single-site surgery (LESS) allows the performance of major urologic procedures with a single small incision. Reliable access for LESS surgery remains a difficult task. We present our initial experience transumbilical LESS right nephrectomy with GelPoint® device (Applied Medical). METHODS A 59 years old female (BMI 29) presented with a large symptomatic hydronephrotic right kidney. Patient was placed in lateral position. We performed a transperitoneal single port right nephrectomy using the Gelpoint® system as platform access and conventional laparoscopic instruments (endoscope (5 mm 30°), aspirator/irrigator, bipolar, monopolar scissors, Hem-o-lock® applier (Teleflex Medical) and 5mm LigaSure® (Covidien)). A single small 5 cm incision was made in the umbilicus. Initially three 10mm trocars were placed through the gel device; a fourth 10 mm trocar was placed to provide retraction of the liver and facilitate upper pole dissection. No auxiliary trocars where placed out of the GelPoint® device. Vessels were secured using Hem-o-locks®. The specimen was removed through the umbilical incision after puncture and aspiration of the retained urine. RESULTS Operating time was 200 min with a total blood loss of 70 cc. No intra or post-operative complication occurred. Patient was discharged at day 3 and returned to normal activity 3 weeks after surgery. No transfusion was required. Post operative serum creatinine was 1,1mg/dl and Hb was 12,9 g/dl. The final skin incision was 5 cm long. Final pathology revealed no malignancy in a large hydronephrotic kidney. CONCLUSIONS LESS nephrectomy is a feasible and save procedure that provide good cosmetics results and quick recovery. The Gelpoint® system brought some advantages to LESS surgery: more spacious surgical field, possibility of using standard laparoscopic instruments, flexibility of trocar placement and wound adapted to surgical specimen size for extraction. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e870 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Ramiro Cabello Madrid, Spain More articles by this author Cristina Quicios Madrid, Spain More articles by this author Nasser Amaruch Madrid, Spain More articles by this author Paula Charry Madrid, Spain More articles by this author Carmen González Madrid, Spain More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...