Kidney morcellation after laparoscopic nephrectomy
Authors:
Pavel Hanek; Tomáš Chmelenský; Jiří Zvěřina
Authors place of work:
Urologické oddělení ON Příbram
Published in the journal:
Ces Urol 2013; 17(1): 55-59
Category:
Case report
Summary
Laparoscopic nephrectomy is a minimally invasive procedure. In contrast with this characteristics, a relatively long incision is peformed at the end of the surgery to remove the specimen. Intracorporeal morcellation of the kidney allows for removed through a special port, avoiding a incision and painful scar. We have verified the possibility of removing a kidney after laparoscopic nephrectomy using a new method of plasmatic bipolar morcellation. The method is safe, fast and reliable. As with other types of morcellation it is only suitable for benign disease.
Key words:
laparoscopic nephrectomy, non-functional kidney, morcellation.
Zdroje
1. Novick AC. Tumory ledvin – současný stav možností jejich léčby. Urologické listy 2004; 3(3): 31–38.
2. Hora M, Klečka J. Možnosti laparoskopie a retroperitoneoskopie v léčbě parenchymových nádorů ledvin, část 1 – nefrektomie. Urologické listy 2005; 3(3): 29–34.
3. Hora M, Klečka J, Eret V, Arge T, Kočovská P. Současné možnosti provedení nefroureterektomie. Urologické listy 2007; 9 5(4): 83–89.
4. Estevao Lima, Frederico Branco, Joana Parente, Riccardo Autorino, Jorge Lorreia-Pinto. Transvesical natural orifice transluminal endoscopic surgery (NOTES) nephrectomy with kidney morcellation: a proof of concept study. BJU International 2012; 109(10): 1533–1537.
5. Camargo AH, Rubenstein JN, Ershoff BD, Meng MV, Kane CJ, Stoller ML. The effect of kidney morcellation on operative time, incision complications, and postoperative analgesia after laparoscopic nephrectomy. Int Brazil J Urol 2006; 32(3): 273–279; discussion 279–280.
6. Gabr AH, Gdor Y, Strope SA, Roberts WW, Wolf JS Jr. Approach and specimen handling do not influence oncological perioperative and long-term outcomes after laparoscopic radical nephrectomy. J Urol 2009; 182(3): 874–880. Epub 2009 Jul 18.
7. Wu SD, Lesani OA, Zhao LC, Johnston WK, Wolf JS Jr, Clayman RV, Nadler RB. A multi-institutional study on the safety and efficacy of specimen morcellation after laparoscopic radical nephrectomy for clinical stage T1 or T2 renal cell carcinoma. J Endourol 2009; 23(9): 1513–1518.
8. Eret V, Hora M. Současné možnosti miniinvazivní chirurgické léčby nádorů ledvin. Praha: Galén 2011.
Štítky
Paediatric urologist Nephrology UrologyČlánok vyšiel v časopise
Czech Urology
2013 Číslo 1
Najčítanejšie v tomto čísle
- Diagnosing adrenal disease – most significant clinical syndromes, biochemical testing and role of imaging methods
- Self-inserting foreign bodies in urogenital tract for the purpose of sexual stimulation
- Life-threatening bleeding into the peritoneal cavity due to spontaneous rupture of angiomyolipoma
- Kidney morcellation after laparoscopic nephrectomy