MP23-16 EVALUATION OF THE ROLE OF LAPAROENDOSCOPIC SINGLE-SITE SURGERY VERSUS MINILAPAROSCOPY FOR TREATMENT OF DIFFERENT UPPER URINARY TRACT PATHOLOGIES: PROSPECTIVE RANDOMIZED COMPARATIVE STUDY

• DOI: 10.1016/j.juro.2016.02.738
• Publication Date: 2016-03-28T07:32:02Z
• Authors: Aly Abdel-Karim; Elsaid Yahia; Mohamed Hassouna; Salah Elsalmy
• Keywords: Upper urinary tract

You have accessJournal of UrologySurgical Technology & Simulation: Instrumentation I1 Apr 2016MP23-16 EVALUATION OF THE ROLE LAPAROENDOSCOPIC SINGLE-SITE SURGERY VERSUS MINILAPAROSCOPY FOR TREATMENT DIFFERENT UPPER URINARY TRACT PATHOLOGIES: PROSPECTIVE RANDOMIZED COMPARATIVE STUDY Aly Abdel-Karim, Elsaid Yahia, Mohamed Hassouna, and Salah Elsalmy Abdel-KarimAly Abdel-Karim More articles by this author , YahiaElsaid Yahia HassounaMohamed Hassouna ElsalmySalah View All Author Informationhttps://doi.org/10.1016/j.juro.2016.02.738AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Direct comparative prospective studies between laparoendoscopic single-site surgery (LESS) minilaparoscopy ML are still lacking. We present the first double-blind randomized study compare LESS for treatment different upper urinary tract pathologies. METHODS During period January 2013 June 2015, patients with pathologies who were candied laparoscopic surgical intervension blindly both CL. was done 3-mm instruments; including laparoscope. procedures a single experienced laparoscopist. Exclusion criteria included children less than 3 years absolute contraindications laparoscopy. Both groups compared regarding demographic data, operative time, intraoperative postoperative complications, estimated blood loss (EBL), hospital stay, analgesic requirement, visual analogue pain scale (VAS) on discharge cosmetic outcome. Cosmetic outcome assessed at 6 months postoperatively using patient scar assessment (PSAS) observer (OSAS). RESULTS Included 60 mean age 40.7±9.2 39.6±16.7 in ML, respectively. Mean BMI 29.5±3.4 28.6±4.37 kg/m2 groups, In group there 2 adrenalectomies, 9 nephrectomies (5 simple 4 radical), pyeloplasties cyst marsuplizations case retrocaval ureter. While marsuplizations. Operative time 167 ±24 min which longer that (145±39 min) but statistically insignificant. EBL 59±34 ml Vs 43± 42 difference VAS significantly (1.7±0.6 2.8±0.5 ML). group, PSAS 5.9±0.85 while OSAS 10.6±1.98. Meanwhile, 8.9±0.9 13.5±6.3. The significant. There no intra-operative complications groups. Post-operative reported 6.6% 3.3% groups; stay 1.8±1.3 days 2.1±0.8 ML. requirements post-operative 151.7±35.6 mg Diclofenac Na 169.7±47.3 conversions either open or conventional laparoscopy 5-mm extra port added cases LESS. we used 10-mm 12 order use Hem-O-lock clip applier. CONCLUSIONS feasible safe options comparable loss, complication rate. However, is associated requirement better Each procedure has its own technical limitations. © 2016FiguresReferencesRelatedDetails Volume 195Issue 4SApril 2016Page: e267-e268 Advertisement Copyright Permissions© 2016MetricsAuthor Information Expand PDF downloadLoading ...