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Single Port Donor Nephrectomy
Published on: March 12, 2011
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Laparoendoscopic single-site plus one port nephroureterectomy: single center initial experience
Alexander Tsivian1, Matvey Tsivian, Yury Stanevsky
1E. Wolfson Medical Center, Holon, Israel; Sackler Faculty of Medicine, Tel Aviv University , Tel Aviv, Israel .
Journal of Endourology
|January 16, 2014
Summary
Laparoendoscopic single-site plus one port (LESS POP) nephroureterectomy (NU) is a feasible technique for upper urinary tract urothelial cancer. This approach demonstrated encouraging outcomes in an initial series of patients.
Area of Science:
- Urology
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Nephroureterectomy (NU) with bladder cuff excision is the standard treatment for upper urinary tract urothelial cancer.
- Minimally invasive techniques aim to reduce patient morbidity while maintaining oncologic control.
Purpose of the Study:
- To report the initial experience and outcomes of the laparoendoscopic single-site plus one port (LESS POP) technique for NU and bladder cuff excision.
- To evaluate the feasibility and safety of LESS POP NU for upper tract urothelial cancer.
Main Methods:
- Retrospective review of consecutive patients undergoing LESS POP NU between 2011 and 2012.
- Detailed description of the surgical technique.
- Summary of perioperative outcomes and complications.
Main Results:
- Ten patients (7 male, 3 female; age 55-84 years) underwent LESS POP NU without conversion to open surgery.
- Median operative time was 217 minutes.
- One patient experienced a Clavien grade IIIb complication (urine leak and wound dehiscence).
Conclusions:
- LESS POP NU is a feasible surgical option for upper tract urothelial cancer with encouraging initial outcomes.
- The LESS approach can potentially extend the benefits of minimally invasive surgery to patients with upper tract tumors while adhering to oncologic principles.
