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Pfannenstiel laparoendoscopic reduced‐port radical nephrectomy
Author(s) -
Yamasaki Mutsushi,
Shin Toshitaka,
Sato Ryuta,
Hirai Kenichi,
Kan Tomoko,
Fujinami Hiroyuki,
Mori Kenichi,
Sumino Yasuhiro,
Nomura Takeo,
Sato Fuminori,
Masuda Hitoshi,
Yonese Junji,
Mimata Hiromitsu
Publication year - 2016
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12290
Subject(s) - cosmesis , medicine , nephrectomy , forceps , surgery , endoscope , port (circuit theory) , convalescence , blood loss , kidney , electrical engineering , engineering
We previously reported cases of laparoendoscopic single‐site nephrectomy performed through an umbilical or pararectal incision. To improve cosmesis and operability, we performed three Pfannenstiel laparoendoscopic reduced‐port nephrectomies. Materials and Surgical Technique In the first case, a GelPOINT access was placed through a 2‐cm umbilical incision, and two additional 3‐mm trocars were inserted. The specimen was extracted through a 4‐cm Pfannenstiel incision. In the second and third cases, a GelPOINT access was placed through a 5‐cm Pfannenstiel incision, and two additional 3‐mm trocars were inserted. The specimens were extracted without additional skin incisions. In all cases, the endoscope and vessel‐sealing device were inserted through the GelPOINT access. We used 3‐mm scissors, dissecting forceps, and bipolar forceps. Discussion The operating time and estimated blood loss were 228, 280, and 155 min and 10, 410, and 5 mL, respectively. There were no intraoperative or postoperative complications. The 3‐mm forceps showed similar efficacy as the conventional 5‐mm forceps. Therefore, a Pfannenstiel reduced‐port nephrectomy using 3‐mm working trocars is a safe and feasible procedure with good cosmesis.