Transumbilical laparo-endoscopic single-site partial nephrectomy: An initial clinical experience of 2 cases

Author: Bing LIU ¹
Author Information

1. Department of Urology
Publication Type:Journal Article
Keywords: Laparo-endoscopic single-site surgery; Partial nephrectomy; Transumbilical
From: Academic Journal of Second Military Medical University 2010;31(12):1349-1352
CountryChina
Language:Chinese
Abstract: Objective: To summarize our experience and operative techniques of transumbilical laparo-endoscopic single-site partial nephrectomy (TLSPN). Methods: TLSPN was performed on two patients for the right kidneys in August and September of 2009. Results: The operation was successfully done in both cases, with an additional trocar of 5 mm to retract the liver. The operation time was 255 min and 240 min; the time periods of renal artery occlusion were 48 min and 40 min; and the intraoperative blood losses were 100 ml and 50 ml. None of the patients received blood transfusion or antalgic. The drainage was removed 9 days and 5 days after operation, and the postoperative hospital stays were 13 and 12 days. Conclusion: TLSPN is a safe and effective method with less trauma. However, special instruments are needed for the procedure, and the suture and knotting are somewhat difficult. An assistant trocar is needed for the procedure for the right kidney.