Retroperitoneal laparoendoscopic single-site approach for renal cyst decortication – first experience and a review of literature
| Autor: | Ioan Coman, Iulia Andras, Teodora Telecan, Nicolae Crisan, Andreea Szabo, Radu-Tudor Coman, Andrei Popa, Paul Medan |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
retroperitoneal approach
medicine.medical_specialty upper urinary tract business.industry laparoendoscopic single-site medicine.medical_treatment Case Report General Medicine Decortication medicine.disease Surgery renal cyst Upper tract Blood loss Single site medicine Operative time Cyst business Retroperitoneal approach Upper urinary tract |
| Zdroj: | Clujul Medical |
| ISSN: | 2066-8872 1222-2119 |
| Popis: | Laparoendoscopic single-site (LESS) approach has been successfully employed for a number of urologic procedures. The retroperitoneal approach further limits the working space and instrument movement during LESS surgery, but has the advantage of a faster post-operative recovery and lower complications rate. We present our first experience using retroperitoneal LESS approach for a renal cyst decortication in a 40-year-old patient. The operative time was 40 minutes, the blood loss was minimal and we did not encounter significant conflicts between the instruments. The patient was discharged 2 days after the procedure and returned to full normal activity within one week. We consider that the retroperitoneal LESS approach is feasible for upper tract urologic surgery. Pre-bent instruments might further improve surgical gestures and extend the indications for more complex procedures. Nevertheless, the advent of reusable devices is expected to increase the cost-effectiveness of LESS and expand its use. |
| Databáze: | OpenAIRE |
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