Urological laparoendoscopic single-site and reduced port surgery: A nationwide survey in Japan
| Autor: | Takatsugu Okegawa, Akio Matsubara, Hiromitsu Mimata, Mitsuhiro Narita, Akio Hoshi, Ken Nakagawa, Toshiro Terachi, Fuminori Sato, Koji Yoshimura, Hidefumi Kinoshita, Susumu Kageyama, Tomonori Habuchi, Akihiro Kawauchi |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Laparoscopic surgery medicine.medical_specialty Pyeloplasty Adolescent Urology medicine.medical_treatment 030232 urology & nephrology Young Adult 03 medical and health sciences Postoperative Complications 0302 clinical medicine Port (medical) Japan Single site medicine Humans Aged Retrospective Studies business.industry Adrenalectomy Perioperative Middle Aged Conversion to Open Surgery Nephrectomy Surgery Reduced port surgery Health Care Surveys 030220 oncology & carcinogenesis Urologic Surgical Procedures Female Laparoscopy business Procedures and Techniques Utilization |
| Zdroj: | International Journal of Urology. 25:263-268 |
| ISSN: | 0919-8172 |
| Popis: | Objectives To evaluate the current status of urological laparoendoscopic single-site and reduced port surgery in Japan. Methods Of the 152 institutions to which councilors of the Japanese Society of Endourology belong, 42 (28%) have carried out laparoendoscopic single-site and reduced port surgery. A total of 32 of these institutions agreed to participate in this survey. Patients who had undergone surgery between January 2008 and March 2014 were included in the present study. Results Overall, 1145 cases of laparoendoscopic single-site and reduced port surgery were recorded during the study period. The most frequent procedures were adrenalectomy and radical nephrectomy. Laparoendoscopic single-site and reduced port surgery represented 12% (872/7311) of all laparoscopic procedures carried out at participating institutions. The number of patients who underwent pyeloplasty, donor nephrectomy and simple nephrectomy tended to increase, whereas those who underwent adrenalectomy, radical nephrectomy and nephroureterectomy peaked in 2012, and then tended to decrease in 2013. The rates of conversion, perioperative and postoperative complications, were 2.7%, 2.2% and 4.5%, respectively. Conclusions The number of laparoendoscopic single-site and reduced port urological surgeries in Japan has increased for benign indications, such as pyeloplasty, donor nephrectomy and simple nephrectomy. In contrast, procedures such as adrenalectomy and radical nephrectomy are trending down after reaching a peak in 2012. Overall, laparoendoscopic single-site and reduced port urological surgery in Japan is being safely carried out when compared with other reported series of laparoendoscopic single-site surgery and conventional laparoscopic surgery. |
| Databáze: | OpenAIRE |
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