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Please use this identifier to cite or link to this item: http://repository.li.mahidol.ac.th/dspace/handle/123456789/12710
Title: Laparo-endoscopic single site (LESS) management of benign kidney diseases: Evaluation of complications
Authors: Sompol Permpongkosol
Pokket Ungbhakorn
Charoen Leenanupunth
Mahidol University
Keywords: Medicine
Issue Date: 1-Jan-2011
Citation: Journal of the Medical Association of Thailand. Vol.94, No.1 (2011), 43-49
Abstract: Background: To present our experience with Laparo-Endoscopic Single Site (LESS) management of benign kidney diseases. Material and Method: Between September 2008 and November 2009, 18 patients underwent single port transumbilical laparoscopic surgery for nephrectomy for a nonfunctioning kidney (7 cases), cyst decortications for symptomatic renal cyst (10 cases), and redo-dismembered pyeloplasty with previously failed laparoscopic surgical repair (1 case). Patients underwent surgery through a single 2-cm infraumbilical incision with the triport laparoscopic-port. All pathological reports of LESS nephrectomy and cyst decortications confirmed with chronic pyelonephritis and simple cysts, respectively. Histology of xanthogranulomotus pyelonephritis showed two cases of the nephrectomy procedure. Results: Mean patient age and BMI were 61 ± SD 14.2 years and 24.75 ± SD 11.2 kg/m 2 , respectively. Mean operating time was 187.7 ± SD 71.4 min. LESS was a possible and safe approach in 77.8% of patients. All LESS cyst decortications and redo-pyeloplasty were completed without major complications or conversion to open surgery. However, there was one case each of LESS cyst decortication and pyeloplasty requiring an additional 3-mm port for suturing due to bleeding and an instrument error. For LESS nephrectomy, two (28.6%) with higher waist circumference were converted to standard laparoscopic nephrectomy due to failure to progress. One post operative complication of incisional hernia occurred in a patient with chronic bronchitis and asthma. Conclusion: LESS for the management of benign kidney diseases is an effective and safe treatment option with selected patients and experienced surgeon.
URI: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=79251589034&origin=inward
http://repository.li.mahidol.ac.th/dspace/handle/123456789/12710
ISSN: 01252208
01252208
Appears in Collections:Scopus 2011-2015

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