INTRODUCTION: To assess the feasibility of single-incision laparoscopic surgery (SILS) in some urological surgeries. MATERIAL AND METHODS: This prospective study was conducted on 40 patients (27 males and 13 females) from January 2010 to June 2011. Six procedures were done, SILS renal cyst decortication (n = 10), SILS varicocelectomy (n = 10), SILS orchiopexy (n = 10), SILS nephrectomy (n = 3), SILS pyelolithtomy (n = 6) and SILS adrenalectomy (n = 1). RESULTS: Postoperative complications included ileus (10%) and fever (10%) in SILS renal cyst ablation. SILS varicocelectomy had postoperative sequalae as persistent varicocele (10%) and hydrocele (10%). SILS orchiopexy was also done with a success rate 100% in this series. SILS pyelolithotomy was successfully done in 5 out of 6 patients and only 1 patient was converted to conventional laparoscopy. In SILS nephrectomy 1 patient out of 3 was converted to conventional laparoscopy. CONCLUSION: SILS in urology has proven to be safe and feasible in the hands of experienced laparoscopic surgeons, using specially designed ports and instruments in selected patients.
INTRODUCTION: To assess the feasibility of single-incision laparoscopic surgery (SILS) in some urological surgeries. MATERIAL AND METHODS: This prospective study was conducted on 40 patients (27 males and 13 females) from January 2010 to June 2011. Six procedures were done, SILS renal cyst decortication (n = 10), SILS varicocelectomy (n = 10), SILS orchiopexy (n = 10), SILS nephrectomy (n = 3), SILS pyelolithtomy (n = 6) and SILS adrenalectomy (n = 1). RESULTS: Postoperative complications included ileus (10%) and fever (10%) in SILS renal cyst ablation. SILS varicocelectomy had postoperative sequalae as persistent varicocele (10%) and hydrocele (10%). SILS orchiopexy was also done with a success rate 100% in this series. SILS pyelolithotomy was successfully done in 5 out of 6 patients and only 1 patient was converted to conventional laparoscopy. In SILS nephrectomy 1 patient out of 3 was converted to conventional laparoscopy. CONCLUSION: SILS in urology has proven to be safe and feasible in the hands of experienced laparoscopic surgeons, using specially designed ports and instruments in selected patients.
Authors: Pasquale Casale; Richard W Grady; Byron D Joyner; Ilia S Zeltser; Ramsay L Kuo; Michael E Mitchell Journal: J Urol Date: 2004-08 Impact factor: 7.450
Authors: Mihir M Desai; Andre K Berger; Ricardo Brandina; Monish Aron; Brian H Irwin; David Canes; Mahesh R Desai; Pradeep P Rao; Rene Sotelo; Robert Stein; Inderbir S Gill Journal: Urology Date: 2009-07-30 Impact factor: 2.649
Authors: George Rafael Martins de Lima; Rômulo Augusto da Silveira; João Batista Gadelha de Cerqueira; Augusto César Gadelha de Abreu; Augusto César Gadelha de Abreu Filho; Marcos Flávio Holanda Rocha; Rommel Prata Regadas; Lúcio Flávio Gonzaga-Silva Journal: J Pediatr Surg Date: 2009-10 Impact factor: 2.545
Authors: Mihir M Desai; Pradeep P Rao; Monish Aron; Georges Pascal-Haber; Mahesh R Desai; Shashikant Mishra; Jihad H Kaouk; Inderbir S Gill Journal: BJU Int Date: 2008-01 Impact factor: 5.588