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Transvesical Laparoendoscopic Single-Site Management of Distal Ureter During Laparoscopic Radical Nephroureterectomy.
Bragayrac, Luciano A Nunez; Machuca, Victor; Saenz, Eric; Cabrera, Marino; de Andrade, Robert; Sotelo, Rene J.
Afiliação
  • Bragayrac LAN; Robotic and Minimally Invasive Surgery Center, Instituto Médico La Floresta, Caracas, Venezuela.
  • Machuca V; Robotic and Minimally Invasive Surgery Center, Instituto Médico La Floresta, Caracas, Venezuela.
  • Saenz E; Robotic and Minimally Invasive Surgery Center, Instituto Médico La Floresta, Caracas, Venezuela.
  • Cabrera M; Robotic and Minimally Invasive Surgery Center, Instituto Médico La Floresta, Caracas, Venezuela.
  • de Andrade R; Robotic and Minimally Invasive Surgery Center, Instituto Médico La Floresta, Caracas, Venezuela.
  • Sotelo RJ; Robotic and Minimally Invasive Surgery Center, Instituto Médico La Floresta, Caracas, Venezuela.
J Endourol ; 35(5): 745-748, 2021 05.
Article em En | MEDLINE | ID: mdl-25211699
Objective: To describe the management of the distal ureter during radical nephroureterectomy with the transvesical laparoendoscopic single-site surgery (T-LESS) approach. Methods: Between January 2010 and October 2013, five patients underwent laparoscopic radical nephroureterectomy for upper urinary tract carcinoma (UTUC) with the T-LESS approach. Patients were placed in the supine position. A 2.5-cm skin incision was made in the line between the pubis and the umbilicus. The bladder was identified and a multiport was inserted into the bladder. The patients were repositioned to a lateral decubitus position; pneumovesicum was established and the ureteral openings were identified. We marked the bladder cuff with electrocautery all the way through to the extravesical fat. The bladder defect was sealed with sutures. After checking for any leak or bleeding, the multiport was removed and the bladder was closed. At this point, we continued with nephrectomy by standard laparoscopy or LESS. A 18F Foley catheter was placed into the bladder. Results: The mean age was 70 years (range 58-81 years), the mean operative time was 198 minutes (range 115-390 minutes), the mean time for the management of the distal ureter was 35 minutes (range 27-45 minutes), the mean estimated blood loss was 234 mL (range 60-850 mL), and the mean hospital stay was 3.8 days (range 2-8 days). In all patients the bladder cuff was free of disease. Conclusion: The transvesical laparoendoscopic single-site approach to the distal ureter for UTUC appears safe and reproducible, with faster closure of the bladder defect and improved cosmesis.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Ureter / Carcinoma de Células de Transição / Laparoscopia Limite: Aged / Aged80 / Humans / Middle aged Idioma: En Revista: J Endourol Assunto da revista: UROLOGIA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Venezuela País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Ureter / Carcinoma de Células de Transição / Laparoscopia Limite: Aged / Aged80 / Humans / Middle aged Idioma: En Revista: J Endourol Assunto da revista: UROLOGIA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Venezuela País de publicação: Estados Unidos