Laparoendoscopic Single-Site (LESS) Retroperitoneal Nephropexy with Standard Laparoscopic Instruments

2010 ◽  
Vol 20 (3) ◽  
pp. 257-260 ◽  
Author(s):  
Yao Chou Tsai ◽  
Chen-Hsun Ho ◽  
Huai-Ching Tai
2010 ◽  
Vol 25 (4) ◽  
pp. 1251-1256 ◽  
Author(s):  
Shiu-Dong Chung ◽  
Chao-Yuan Huang ◽  
Shuo-Meng Wang ◽  
Huai-Ching Tai ◽  
Yao-Chou Tsai ◽  
...  

2012 ◽  
Vol 26 (9) ◽  
pp. 2671-2677 ◽  
Author(s):  
Yao-Chou Tsai ◽  
Victor Chia-Hsiang Lin ◽  
Shiu-Dong Chung ◽  
Chen-Hsun Ho ◽  
Fu-Shan Jaw ◽  
...  

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Xianghui Su ◽  
Xiaolong Jin ◽  
Canliang Wen ◽  
Qiong Xu ◽  
Chunfang Cai ◽  
...  

Objective. To demonstrate various benign gynecologic diseases that can be performed by laparoendoscopic single-site surgery (LESS) with conventional laparoscopic instruments. Method. Patients with benign gynecologic diseases that need ovarian cystectomy, fallopian tube resection, or myomectomy were divided into experimental group and control group, and perioperative outcomes of these patients were analyzed. Results. From November 2017 to May 2018, 65 LESS gynecological surgeries were performed, among which there were 25 ovarian cystectomies, 28 unilateral fallopian tube resections, and 12 myomectomies. All the surgeries were completed smoothly, and only one surgery needed one more additional port. No patients have severe complications. Operative time, intraoperative blood loss, and perioperative complications have no difference between the two groups. The LESS laparoscopy group had less postoperative pain scores and longer bowel recovering time, compared with the conventional laparoscopy group (<0.05). Conclusion. Compared with traditional laparoscopy, LESS surgery with conventional laparoscopic instruments is feasible and safe, but postoperative exhaust time is longer than the control group.


2014 ◽  
Vol 94 (1) ◽  
pp. 58-63
Author(s):  
Zhonghua Wu ◽  
Youming Xu ◽  
Jianhua Yu ◽  
Jin Liu ◽  
Jiushun Chen ◽  
...  

Aim: To report our experience with retroperitoneal laparoendoscopic single-site (LESS) ureterolithotomy for the management of large proximal ureteral stones. Patients and Methods: From July 2011 to April 2012, 20 patients underwent retroperitoneal LESS ureterolithotomy. The indications for the operation were impacted upper ureteral stones larger than 15 mm. A reusable elastic single-port device with 3 working channels was inserted through the 2.5-cm incision at the midpoint between the costal arch and iliac crest on the mid-axillary line. A rigid 10-mm 30° extra-long laparoscope was introduced for monitoring, and a combination of lengthened pre-bent and conventional laparoscopic instruments was used for handling. The surgical procedure was similar to conventional retroperitoneal laparoscopic ureterolithotomy. Results: Retroperitoneal LESS ureterolithotomy was completed in all of the patients. The mean stone size was 18.8 mm (range 16-28). The mean operative time was 108 min (range 75-140). Significant bleeding was not observed, and no major intraoperative complications occurred in any of the patients. The mean hospital stay was 4.4 days (range 3-7). Conclusions: Retroperitoneal LESS ureterolithotomy, using a reusable elastic single-port device, is technically feasible and safe, and the combination of conventional and pre-bent laparoscopic instruments represents an attractive option for retroperitoneal LESS.


2018 ◽  
Vol 12 (3) ◽  
pp. 153-157 ◽  
Author(s):  
Mohamed Zouari ◽  
Mahdi Ben Dhaou ◽  
Saloua Ammar ◽  
Mohamed Jallouli ◽  
Riadh Mhiri

Objective: The aim of the study was to assess the feasibility and outcomes of pediatric urological laparoendoscopic single-site (LESS) surgery. Materials and Methods: We retrospectively collected charts of all patients who underwent LESS procedures in our department from January 2013 to December 2016. Data included demographic characteristics, type of procedures, intraoperative details, hospital stay, and complications. The umbilicus was used as the surgical site in all cases. All procedures were performed with a homemade glove port and standard straight 3- or 5-mm laparoscopic instruments. Results: Seventy-three patients (55 males, 18 females) were identifed. Procedures included 46 orchidop-exies, 21 pyeloplasties, 8 varicocelectomies, 3 nephrecto-mies, 3 nephroureterectomies, 3 orchiectomies, and 1 renal hydatid cyst treatment. Median operative time for the entire cohort was 47 min (range 26-156 min). There was no signifcant intraoperative blood loss. No conversion to conventional laparoscopy or open surgery was needed. All patients required paracetamol postoperatively. The mean follow-up was 18 months. Two patients had testicular atrophy after a Fowler-Stephens procedure and 1 patient had testicular reascension. Cosmetic results were excellent. Forty-five (62.5%) patients were discharged on the day of surgery. Conclusion: Our study demonstrated that LESS surgery using our glove port technique and conventional laparoscopic instruments is a feasible and safe technique for the surgical management of various pediatric urological conditions.


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