Comparison of laparoendoscopic single-site and multiport laparoscopic radical and partial nephrectomy

A prospective, nonrandomized study

Wassim M. Bazzi, Sean P. Stroup, Ryan Kopp, Seth A. Cohen, Kyoko Sakamoto, Ithaar H. Derweesh

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

Objective: To prospectively compare outcomes of laparoendoscopic single-site and multiport laparoscopic radical nephrectomy and partial nephrectomy, focusing on postoperative pain and analgesic requirement. Methods: Nonrandomized, prospective comparison of laparoendoscopic single-site and multiport laparoscopic radical nephrectomy and partial nephrectomy. Thirty-four patients underwent laparoendoscopic single-site (17 radical nephrectomy/17 partial nephrectomy); 42 underwent multiport laparoscopy (28 radical nephrectomy/14 partial nephrectomy) from February 2009 to February 2010. Laparoendoscopic single-site transperitoneal access was obtained by periumbilical incision through which all trocars were inserted. Laparoendoscopic radical nephrectomy/partial nephrectomy recapitulated steps of multiport laparoscopic radical nephrectomy/partial nephrectomy. Demographics/tumor characteristics, outcomes, and complications were analyzed. Results: Forty-two of 42 multiport laparoscopic and 32/34 laparoendoscopic single-site cases were successfully performed. Mean follow-up was 16.2 months. For laparoendoscopic single-site and multiport laparoscopy groups mean operating room time (min) was 159.3 vs 158.9 (P =.952); mean estimated blood loss (mL) was 175.7 vs 156.1 (P =.553); percent transfused was 2.9% vs 0% (P =.925). No significant differences in complications were noted (P =.745). Significant decrease in analgesic use (6 morphine equivalents vs 11.6, P

Original languageEnglish (US)
Pages (from-to)1039-1045
Number of pages7
JournalUrology
Volume80
Issue number5
DOIs
StatePublished - Nov 2012
Externally publishedYes

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Nephrectomy
Prospective Studies
Laparoscopy
Analgesics
Operating Rooms
Postoperative Pain
Surgical Instruments
Morphine
Demography

ASJC Scopus subject areas

  • Urology

Cite this

Comparison of laparoendoscopic single-site and multiport laparoscopic radical and partial nephrectomy : A prospective, nonrandomized study. / Bazzi, Wassim M.; Stroup, Sean P.; Kopp, Ryan; Cohen, Seth A.; Sakamoto, Kyoko; Derweesh, Ithaar H.

In: Urology, Vol. 80, No. 5, 11.2012, p. 1039-1045.

Research output: Contribution to journalArticle

Bazzi, Wassim M. ; Stroup, Sean P. ; Kopp, Ryan ; Cohen, Seth A. ; Sakamoto, Kyoko ; Derweesh, Ithaar H. / Comparison of laparoendoscopic single-site and multiport laparoscopic radical and partial nephrectomy : A prospective, nonrandomized study. In: Urology. 2012 ; Vol. 80, No. 5. pp. 1039-1045.
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