Clincal study of laparoscopic single-port transumbilical renal pedicle lymphatic disconnection for treatment of chyluria

VernacularTitle:经脐单孔腹腔镜下肾蒂淋巴管剥离术治疗乳糜尿的临床研究
Author: Gang WU ; Yao ZHANG ; Jin YE ; Wenqian HUO ; Weihua LAN ; Keqin ZHANG ; Jun JIANG ; Qiansheng LI ; Fengshuo JIN
Publication Type:Journal Article
Keywords: Single-port Laparoscopic surgery; Transumbilical; Renal pedicle lymphatic disconnection; Chyluria
From: Chinese Journal of Urology 2011;32(2):87-89
CountryChina
Language:Chinese
Abstract: Objective To evaluate the feasibility and efficacy of laparoscopic single-port transumbilical renal pedicle lymphatic disconnection (TRPLD) for treatment of chyluria. Methods Nine cases of chyluria underwent laparoscopic single-port TRPLD. In all cases a 2-3 cm single inverted Ushaped supraumbilical incision was made, two 5-mm and one 12-mm trocars were inserted, and a medical rubber glove was sutured surrounding the three trocars and incision was made for gas proofing.Conventional straight and flexible instruments were used for dissection. Results All laparoscopic operations were successfully completed without conversion to open surgery. The mean operative time was 135 (96-178) minutes, and the mean estimated blood loss was 126 (50-250) ml. Chyluria disappeared in all patients after operation and did not reoccur during the follow-up (1 - 6 months).Conclusions Laparoscopic single-port transumbilical TRPLD represents a feasible and novel mini-invasive option for patients with chyluria.