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Pfannenstiel laparoendoscopic reduced‐port bilateral radical nephrectomy for a patient with renal cell carcinoma undergoing hemodialysis
Author(s) -
Nomura Takeo,
Yamasaki Mutsushi,
Takei Kohei,
Sato Fuminori,
Terachi Toshiro,
Mimata Hiromitsu
Publication year - 2018
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.12417
Subject(s) - medicine , cosmesis , nephrectomy , renal cell carcinoma , umbilicus (mollusc) , surgery , hemodialysis , port (circuit theory) , convalescence , urology , kidney , electrical engineering , engineering
We performed P fannenstiel laparoendoscopic reduced‐port bilateral radical nephrectomy on a patient with renal cell carcinoma undergoing hemodialysis. A 4‐cm P fannenstiel incision was made, and a GelPOINT access was inserted. Three trocars were placed through the access platform, and additional 5‐ and 3‐mm trocars were inserted in the umbilicus and paraumbilical area, respectively. After left nephrectomy, right nephrectomy was successfully completed in 401 min, with an estimated blood loss of 70 mL. There were no intraoperative or postoperative complications, and the patient was discharged 10 days postoperatively. The umbilical scar was concealed within the umbilical fold, and the scar from the 3‐mm trocar was almost invisible. The P fannenstiel scar was minimal and concealed by the patient's underwear. Pfannenstiel laparoendoscopic reduced‐port simultaneous bilateral radical nephrectomy is a safe and technically feasible procedure that offers great cosmesis for patients with bilateral renal tumors and end‐stage renal disease.