Current situation of incision sites in laparoscopic nephrectomy for intact specimens by urologists in China
10.3969/j.issn.1009-8291.2023.02.016
- VernacularTitle:中国泌尿外科医师腹腔镜肾切除术完整标本取出的切口位置选择现状调查
- Author:
Sufang KONG
1
;
Nan ZHANG
1
;
Yaohui MA
1
;
Qingjun GUAN
1
;
Xiangrui LI
1
;
Zhongjie SHAN
1
Author Information
1. Department of Urology, The Fifth Clinical Medical College of Henan University of Chinese Medicine (Zhengzhou People’s Hospital), Zhengzhou 450003, China
- Publication Type:Journal Article
- Keywords:
laparoscopy;
nephrectomy;
questionnaire;
intact specimens extraction;
operative incision;
urologists in China
- From:
Journal of Modern Urology
2023;28(2):153-156
- CountryChina
- Language:Chinese
-
Abstract:
【Objective】 To investigate the current status of incision sites to obtain intact specimens in laparoscopic nephrectomy by urologists in China, so as to provide reference for the standardized procedure. 【Methods】 During Jun.20, 2021 and Jul.4, 2021, more than 20 000 urologists in a WeChat group were surveyed with a questionnaire. The general data, incision sites and related complications were statistically analyzed. 【Results】 A total of 601 valid questionnaires were collected, covering urologists from 31 provinces, autonomous regions and municipalities. Surgical approaches: 68 urologists chose trans-abdominal approach, 432 chose posterior abdominal space approach, 101 chose both surgical approaches. Incision sites: 97 urologists chose lumbar transverse incision, 202 chose dorsal oblique incision of the waist, 119 chose ventral oblique incision, 93 chose the paramedian incision, 112 chose the lower abdominal oblique incision (Gibson), 11 chose the transverse lower abdominal incision (Pfannenstiel), 7 chose the median incision of the lower abdomen, 2 chose the median incision in the upper abdomen, 15 chose axillary midline direct incision; 399 chose to cut off the muscles, and 202 chose not to. Complications: 232 urologists reported pain after 2 weeks, 369 reported no pain; 325 reported numbness after 2 weeks, 276 reported no numbness; 66 reported incisional hernia, 535 reported no hernia. 【Conclusions】 Chinese urologists tend to choose retroperitoneoscopic nephrectomy and waist incision to obtain intact specimens. Transperitoneal laparoscopic nephrectomy has a variety of incisions for intact specimens. There is no standardized incision sites to obtain intact specimens.
