Laparoscopic Single Site (LESS) Radical nephrectomy using basic laparoscopic instruments : A case report
Keywords:
Laparoscopic Single Site, LESS, Radical nephrectomy, basic laparoscopic instrumentsAbstract
OBJECTIVES: To present a case of renal cell carcinoma underwent Laparoscopic Single Site (LESS) radical nephrectomy using basic laparoscopic instruments (without a commercial single port or articulate laparoscopic instruments) and without additional access.
MATERIALS: A 53-year-old male was diagnosed with a right renal mass on routine check up without symptoms. Computed Tomography revealed a 4 cm.-enhanced complex cystic-solid mass at upper pole of the right kidney consistent with cystic renal cell carcinoma. Laparoscopic single site (LESS) radical nephrectomy was performed.
RESULTS: Laparoscopic Single Site (LESS) right radical nephrectomy was carried out using basic laparoscopic instruments without using commercial single port or articulated laparoscopic instruments and without additional access added. The operative time was 155 minutes. The blood loss was 30 ml. No peri-operative complications occurred. The patient was uneventful recovery. The tumor histology was renal cell carcinoma confined in the kidney and free margin.
CONCLUSIONS: Laparoscopic Single Site (LESS) radical nephrectomy is safe, feasible and cost-effective because of using only basic laparoscopic instruments. However, the LESS procedures are technically demanded and required steep learning curve.
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