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Pfannenstiel laparoendoscopic reduced-port radical nephrectomy
Mutsushi Yamasaki1,2, Toshitaka Shin1, Ryuta Sato1
1Department of Urology, Oita University Faculty of Medicine, Oita, Japan.
Asian Journal of Endoscopic Surgery
|July 8, 2016
Summary
Pfannenstiel reduced-port nephrectomy using 3-mm trocars is a safe and feasible procedure. This technique offers improved cosmesis and operability compared to traditional methods.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Surgical Oncology
Background:
- Previous laparoendoscopic single-site nephrectomies were performed via umbilical or pararectal incisions.
- To enhance cosmetic outcomes and surgical efficiency, reduced-port nephrectomies utilizing a Pfannenstiel incision were developed.
Observation:
- Three Pfannenstiel reduced-port nephrectomies were performed.
- A GelPOINT access system was employed, with additional 3-mm trocars inserted in all cases.
- Specimen extraction varied, utilizing either the Pfannenstiel incision or no additional incisions.
Findings:
- Operating times ranged from 155 to 280 minutes, with estimated blood loss between 5 and 410 mL.
- No intraoperative or postoperative complications were reported across the cases.
- 3-mm instruments demonstrated comparable efficacy to conventional 5-mm instruments.
Implications:
- Pfannenstiel reduced-port nephrectomy with 3-mm working trocars is a safe and feasible surgical option.
- This approach offers significant cosmetic advantages.
- The technique supports efficient and effective nephrectomy with minimal complications.
