Portless endoscopic radical nephrectomy via a single minimum incision in 80 patients

International Journal of Urology : Official Journal of the Japanese Urological Association
Kazunori KiharaNobuhiko Hyochi

Abstract

To assess the feasibility of our portless endoscopic radical nephrectomy via a single minimum incision, which narrowly permitted extraction of the specimen in the initial 80 patients. Radical nephrectomy was carried out extraperitoneally in patients with T1-3aN0M0 renal tumors using an endoscope through a single minimum incision without trocar ports and gas. All the instruments used were reusable. The average length of incision, operative time and estimated blood loss were 6.6 cm (range, 4-9 cm), 3. 1 h (range, 1.7-5.6 h) and 324 mL (range, 10-2288 mL), respectively. The complication rate was 2.5% (2/80); complications included injury of the pleura and hemorrhage from the vena cava, both of which were repaired by suture during operation. Transfusion was performed in three patients (3.8%). Average times to oral feeding and walking were both 1.4 days. Wound pain was minimal and analgesics were generally not required by the second postoperative day. In patients with larger incisions (7 cm or more), estimated blood loss increased (approximately 100 mL on average) and oral feeding resumed later (0.3 days on average), relative to patients with smaller incisions (6 cm or less). However, overall results were similar between the two pat...Continue Reading

References

Aug 1, 1991·The Journal of Urology·R V ClaymanS R Long
Apr 1, 1994·Nihon Hinyōkika Gakkai zasshi. The japanese journal of urology·Y KageyamaH Oshima
May 25, 2002·International Journal of Urology : Official Journal of the Japanese Urological Association·Yukio KageyamaGaku Arai
Nov 2, 2002·International Journal of Urology : Official Journal of the Japanese Urological Association·Akihiro KawauchiTsuneharu Miki

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Citations

Mar 8, 2011·Asian Journal of Surgery·Shuji HamadaYoji Katsuoka
Dec 15, 2015·International Journal of Urology : Official Journal of the Japanese Urological Association·Naoko KawamuraKazunori Kihara
Aug 22, 2009·International Journal of Urology : Official Journal of the Japanese Urological Association·Kazunori KiharaFumitaka Koga
Feb 14, 2009·International Journal of Urology : Official Journal of the Japanese Urological Association·Satoru KawakamiUNKNOWN Japanese Urological Association
Nov 27, 2007·International Journal of Urology : Official Journal of the Japanese Urological Association·Mizuaki SakuraKazunori Kihara
Jan 11, 2008·International Journal of Urology : Official Journal of the Japanese Urological Association·Yasumasa IimuraSatoru Kawakami
May 22, 2007·International Journal of Urology : Official Journal of the Japanese Urological Association·Soichiro YoshidaKazunori Kihara
Jan 14, 2009·International Journal of Urology : Official Journal of the Japanese Urological Association·Norihito SogaYoshiki Sugimura
Jan 11, 2008·International Journal of Urology : Official Journal of the Japanese Urological Association·Mizuaki SakuraKazunori Kihara
Aug 8, 2007·International Journal of Urology : Official Journal of the Japanese Urological Association·Fumitaka KogaTsuyoshi Kobayashi
May 17, 2012·International Journal of Urology : Official Journal of the Japanese Urological Association·Kazunori KiharaKazuyuki Kojima
Feb 2, 2006·International Journal of Urology : Official Journal of the Japanese Urological Association·Hideo Kiyokawa, Haruaki Kato
Feb 29, 2008·International Journal of Urology : Official Journal of the Japanese Urological Association·Takuya KoieChikara Ohyama
Mar 23, 2010·Diseases of the Colon and Rectum·Dai UematsuKinichi Hotta
Feb 26, 2016·Acute Medicine & Surgery·Kazuo IshikawaHiroshi Nakano

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