Transumbilical single-port laparoscopic nephrectomy in pigs: An initial experience

Author: Bo YANG ¹
Author Information

1. Department of Urology
Publication Type:Journal Article
Keywords: Basic skill; Nephrectomy; Single-port laparoscopy
From: Academic Journal of Second Military Medical University 2010;31(4):417-420
CountryChina
Language:Chinese
Abstract: Objective: To try to perform single-port laparoscopic nephrectomy in pigs, and to summarize and improve the basic skills, so as to decrease risks in clinical practice. Methods: From Apr. to May 2009, we performed 10 times (5 pigs) of nephrectomy on porcine model using Triport system. The experience was summarized with respect to the following issues, the choice of endoscopy and instruments, insertion of Triport single port system, and optimization of the basic operation procedure. Results: All the procedures were successful, without bleeding, organ injury or other complications. Operative time decreased from 75 min at the first time to 23 min for the last one. Clashing of instruments was the biggest frustration in the process; "X" shape crossing can partially resolve the problem, based on which four kinds of basic operating modes were designed. Conclusion: Single-port laparoscopy nephrectomy in pigs can help the new learners to quickly improve their skills and decreases clinical risks.