Laparoscopic nephrectomy with single-portal access Gelpoint®in swines
| Autor: | Letícia Chueiri, Mateus Eduardo Rugilo Rosa, Maiara Radigonda, Thais Tesser de Araujo, André Gustavo Maschio, Fernando Meyer, Denise Sbrissia e Silva Gouveia |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
medicine.medical_specialty
Time Factors RD1-811 Swine medicine.medical_treatment Umbilicus (mollusc) Operative Time Blood Loss Surgical Hilum (biology) Blood volume Nephrectomy medicine Animals Laparoscopy Total nephrectomy medicine.diagnostic_test Umbilicus business.industry Laparoscopic nephrectomy Reproducibility of Results Surgery Dissection Models Animal Feasibility Studies business |
| Zdroj: | Acta Cirurgica Brasileira, Volume: 28, Issue: 11, Pages: 778-782, Published: NOV 2013 Acta Cirurgica Brasileira, Vol 28, Iss 11, Pp 778-782 (2013) Acta Cirúrgica Brasileira v.28 n.11 2013 Acta Cirúrgica Brasileira Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia (SBDPC) instacron:SBDPC |
| ISSN: | 1678-2674 |
| Popis: | PURPOSE: To analyze the viability of using Gelpoint® (single-port access) to make partial and total nephrectomy in pigs and to describe the technical difficulties found during these surgical procedures. METHODS: Ten pigs (Landrace specie) with 20kg in average were distributed in two groups. Group A: total right nephrectomy and Group B: partial left nephrectomy. The procedures were performed inside the Surgical Technique Room from Pontifícia Universidade Católica do Parana (PUCPR). RESULTS: In Group A, time to single-port insertion varied from one to two minutes and total time of the procedures were 20.4±8.2 minutes. Bleeding was under than 20 mL in 70% of animals. Time of instrument excision was 20.7±12 seconds and time of hilum dissection was 3.9±2.2 minutes. In Group B, after total contralateral nephrectomy two surgical procedures were not concluded due to bleeding. In this group, time of surgery was 6.8±4.2 minutes. With the exception of the second surgery, the highest blood volume loss was 50 mL. The mean excision time was 22.3 ± 22.3 seconds. CONCLUSION: Total and partial nephrectomy through umbilical single-access using GelPoint® was feasible and safe in pigs. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|