Laparoscopic single-incision triangulated umbilical surgery (SITUS) pyeloplasty: a description of the first 32 cases

World Journal of Urology
Martin HabicherTraining and Research in Urological Surgery and Technology (T.R.U.S.T.)-Group

Abstract

Transumbilical laparoendoscopic (LESS) procedures reduce access trauma. Laparoendocopic single-incision triangulated umbilical surgery (SITUS) utilizes straight instruments in a triangulated fashion, via three trocars placed through a single umbilical incision. Thirty-two consecutive patients underwent an SITUS pyeloplasty. Access is performed by incision of the umbilical fold by 3/4 of its circumference, a 5-mm camera port, and consequently, cranial and caudal 3 or 5 mm working trocars are placed at a distance of 3-6 cm, thus allowing triangulation. SITUS laparoscopy utilizes the standard straight instruments with a length of 43 cm. All procedures were successfully performed and no conversion to open, or conventional laparoscopic approach was deemed necessary. Thirty patients underwent a dismembered and two a Fenger pyeloplasty. A crossing vessel was identified in 68.75% of the cases. The median laparoscopic and suturing times were 130 and 30 min, respectively; median blood loss was 50 ml. The median duration of hospitalization was 4 days. The visual analogue scores (VAS) reported were 1 on the first and 0 on the third postoperative day. The indwelling double-J or mono-J stents were removed after a median time of 5 weeks and 4...Continue Reading

References

Apr 1, 1996·Journal of Endourology·K R Anderson, R M Weiss
Feb 8, 2002·The Journal of Urology·Thomas W JarrettLouis R Kavoussi
Feb 14, 2006·Nature Clinical Practice. Urology·Ben H Chew, John D Denstedt
Dec 19, 2007·BJU International·Mihir M DesaiInderbir S Gill
Aug 1, 2009·Urology·Mihir M DesaiInderbir S Gill
Jul 29, 2010·Urologia Internationalis·Syed Javid Farooq Qadri, Muneer Khan
Aug 5, 2010·International Journal of Experimental Pathology·Julie KleinJoost P Schanstra
Sep 13, 2011·Journal of Endourology·Bastian AmendKarl-Dietrich Sievert
Jan 8, 2013·World Journal of Urology·Evangelos LiatsikosJens Uwe Stolzenburg
Feb 28, 2013·International Journal of Urology : Official Journal of the Japanese Urological Association·Volkan TugcuAli Ihsan Tasci
Mar 29, 2014·International Journal of Urology : Official Journal of the Japanese Urological Association·Yasuyuki NaitohTsuneharu Miki
Jun 25, 2014·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Manickam RamalingamMizar Ganapathy Pai

❮ Previous
Next ❯

Citations

Mar 25, 2019·F1000Research·Mikolaj MendrekChristian Bach

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.