Laparoendoscopic single-site surgery for the elder patients with urological tumors
10.3760/cma.j.issn.0254-9026.2011.06.018
- VernacularTitle:单孔腹腔镜技术在泌尿外科老年肿瘤切除中的应用
- Author:
Yaqun ZHANG
;
Gang ZHU
;
Yaoguang ZHANG
;
Bin JIN
;
Dong WEI
;
Ben WAN
;
Jianye WANG
- Publication Type:Journal Article
- Keywords:
Laparoscopes;
Urologic surgical procedures;
Prostatic neoplasms;
Kidney neoplasms;
Adrenocortical adenoma
- From:
Chinese Journal of Geriatrics
2011;30(6):500-502
- CountryChina
- Language:Chinese
-
Abstract:
Objective To verify the clinical safety and feasibility of applying laparoendoscopic single-site surgery (LESS) in the treatment of elder patients with urological tumors. Methods From August 2010 to March 2011, LESS technique was used to do prostatectomy in five cases, nephrectomy in 3 cases and adrenalectomy in four cases. Quadport was inserted through a transumbilical incision. Flexible tip 5 mm laparoscope and standard laparoscopic instruments were employed. This technique was evaluated in respects of operative time, estimated blood loss, intraoperative complications, drainage time, post-operative visual analogue pain scale (VAPS), post-operative hospital stay and pathological change. Results All the procedures in this group were completed successfully with LESS. There was no additional trocarand conversion to standard laparoscopic or open surgery. Application of Quadport reduced the clash of instruments. Carefully performing surgery and avoiding blunt dissection to reduce intraoperative bleeding is the cornerstone of success. The operative time and estimated blood loss were (192.0±76.7) min and (174.6±167.2) ml, respectively. There was no severe intraoperative complication and blood transfusion. The VAPS in the first post-operative day was (0.9 ± 1.0) minutes and the drainage time was (3.5±1.7) d while post-operative hospital stays were (7.9±3.4) d. There was no occurrence of secondary bleeding and wound infection. Conclusions LESS is a safe and feasible alternative for the treatment of urological tumors in elderly patients, but needs further clinical investigation.
