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Umbilical laparoendoscopic urological surgery with a novel reusable device
Ana García-Tello1, Pedro M Cabrera, Felipe Cáceres
1Department of Urology, Hospital Universitario de Getafe, Fundación para la Investigación Biomédica, Departamento Clínico, Facultad de Ciencias Biomédicas, Universidad Europea de Madrid , Madrid , Spain.
This study demonstrates that reusable umbilical laparoendoscopic urological surgery is safe and effective for various procedures, offering good outcomes with minimal pain. The approach provides a cost-effective solution for patients undergoing complex urological surgeries.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Surgical Oncology
Background:
- Umbilical laparoendoscopic surgery offers a cosmetic advantage.
- Reusable instruments can reduce healthcare costs.
Purpose of the Study:
- To present cumulative experience with umbilical laparoendoscopic urological surgery using a reusable device.
- To evaluate outcomes and complications in the first 100 patients.
Main Methods:
- Prospective evaluation of patients undergoing umbilical surgery with the KeyPort system and DuoRotate instruments.
- Assessment of demographic, intraoperative, and postoperative data.
Main Results:
- 100 patients underwent pelvic and renal surgeries, including radical prostatectomy, cystectomy, and nephrectomy.
- Low complication rates (24%) and minimal postoperative pain (VAS 2.1/10) were observed.
- High patient satisfaction with wound healing (9.2/10) and no cancer-related events during follow-up.
Conclusions:
- Umbilical KeyPort surgery is feasible for diverse urological procedures.
- This approach yields satisfactory surgical outcomes with reduced postoperative pain.
- The reusable nature of the instruments offers significant economic benefits.
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