A comparative study of laparoendoscopic single-site surgery versus conventional laparoscopy for upper urinary tract malignancies

Jongchan Kim, Ho Song Yu, Kang Su Cho, WoongKyu Han, Won Sik Ham

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Purpose: The proper indication for laparoendoscopic single-site surgery (LESS) in urology is still under debate, especially for malignant diseases. We compared the perioperative outcomes between LESS and conventional laparoscopy (CL) for upper urinary tract malignancies. Materials and Methods: We reviewed the records of 75 patients who underwent radical nephrectomy, nephroureterectomy with bladder cuff excision, or partial nephrectomy with the LESS or CL approach between December 2008 and December 2010. We compared characteristics and perioperative outcomes between patients who underwent LESS or CL. All operations were performed by three surgeons using the transperitoneal approach. Results: For all three surgery types, no differences in patient characteristics, estimated blood losses, transfusion rates, or durations of hospital stay were found between the two groups. No complications were found between the two groups in those who underwent nephroureterectomy with bladder cuff excision; however, significantly more complications were found in the LESS group than in the CL group in those who underwent radical nephrectomy or partial nephrectomy. Most of the complications with LESS radical nephrectomy occurred in the early introduction period of the technique. Conclusions: No significant differences in perioperative outcomes were found between the LESS and CL groups in those who underwent radical nephrectomy or nephroureterectomy with bladder cuff excision. Therefore, the use of LESS in these cases is expected to expand as surgeons gain more experience with this technique and as other technical advances in laparoscopic instruments occur. However, partial nephrectomy with LESS should be performed restrictively considering the current level of surgical skill.

Original languageEnglish
Pages (from-to)244-248
Number of pages5
JournalKorean Journal of Urology
Volume54
Issue number4
DOIs
Publication statusPublished - 2013 Apr 1

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Urinary Tract
Laparoscopy
Nephrectomy
Neoplasms
Urinary Bladder
Urology
Blood Transfusion
Length of Stay

All Science Journal Classification (ASJC) codes

  • Urology

Cite this

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abstract = "Purpose: The proper indication for laparoendoscopic single-site surgery (LESS) in urology is still under debate, especially for malignant diseases. We compared the perioperative outcomes between LESS and conventional laparoscopy (CL) for upper urinary tract malignancies. Materials and Methods: We reviewed the records of 75 patients who underwent radical nephrectomy, nephroureterectomy with bladder cuff excision, or partial nephrectomy with the LESS or CL approach between December 2008 and December 2010. We compared characteristics and perioperative outcomes between patients who underwent LESS or CL. All operations were performed by three surgeons using the transperitoneal approach. Results: For all three surgery types, no differences in patient characteristics, estimated blood losses, transfusion rates, or durations of hospital stay were found between the two groups. No complications were found between the two groups in those who underwent nephroureterectomy with bladder cuff excision; however, significantly more complications were found in the LESS group than in the CL group in those who underwent radical nephrectomy or partial nephrectomy. Most of the complications with LESS radical nephrectomy occurred in the early introduction period of the technique. Conclusions: No significant differences in perioperative outcomes were found between the LESS and CL groups in those who underwent radical nephrectomy or nephroureterectomy with bladder cuff excision. Therefore, the use of LESS in these cases is expected to expand as surgeons gain more experience with this technique and as other technical advances in laparoscopic instruments occur. However, partial nephrectomy with LESS should be performed restrictively considering the current level of surgical skill.",
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A comparative study of laparoendoscopic single-site surgery versus conventional laparoscopy for upper urinary tract malignancies. / Kim, Jongchan; Yu, Ho Song; Cho, Kang Su; Han, WoongKyu; Ham, Won Sik.

In: Korean Journal of Urology, Vol. 54, No. 4, 01.04.2013, p. 244-248.

Research output: Contribution to journalArticle

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