Laparo-endoscopic single-site (LESS) radical nephrectomy with renal vein thrombectomy

Initial report

Ryan Kopp, Jonathan L. Silberstein, Ithaar H. Derweesh

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Background. By combining trocar sites and extraction incision, Laparo-endoscopic Single-site Surgery (LESS) may provide less morbidity than traditional laparoscopy. Concerns continue about LESS for locally advanced tumors. We present our experience with LESS-radical nephrectomy with renal vein thrombectomy (LESS-RN-RVT). Case Presentation. Between 5-6/2009, 2 patients underwent LESS-RN-RVT (1 right-/1 left-side). Standard steps of multi-site laparoscopic radical nephrectomy were performed, including stapled renal vein thrombectomy and intact specimen extraction. Both cases were successfully completed by LESS without complications. Mean tumor size was 7.8 cm, incision size 4.5 cm, operative time 152 min, EBL 100 ml, and hospital stay 2.5 days. Both patients had negative margins, and are alive at time of last follow-up. One did not require postoperative opiates. Conclusions. LESS-RN-RVT is safe and feasible in selected patients with renal vein thrombi. Further accumulation of data and comparison to multiport laparoscopic technique are requisite.

Original languageEnglish (US)
Article number8
JournalBMC Urology
Volume10
DOIs
StatePublished - 2010
Externally publishedYes

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Thrombectomy
Renal Veins
Nephrectomy
Opiate Alkaloids
Operative Time
Surgical Instruments
Laparoscopy
Length of Stay
Neoplasms
Thrombosis
Binding Sites
Morbidity

ASJC Scopus subject areas

  • Urology
  • Reproductive Medicine

Cite this

Laparo-endoscopic single-site (LESS) radical nephrectomy with renal vein thrombectomy : Initial report. / Kopp, Ryan; Silberstein, Jonathan L.; Derweesh, Ithaar H.

In: BMC Urology, Vol. 10, 8, 2010.

Research output: Contribution to journalArticle

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T2 - Initial report

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PY - 2010

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