Department of Urology, University of Miami Miller School of Medicine, Miami, Florida 33136, USA.
J Endourol. 2011 Jun;25(6):923-5. doi: 10.1089/end.2010.0730. Epub 2011 May 13.
The goal of this report is to describe our initial clinical experience performing a simple nephrectomy with the SPIDER (Single Port Instrument Delivery Extended Reach) laparoendoscopic single-site (LESS) surgical system.
One patient with a nonfunctioning kidney secondary to a ureteropelvic junction obstruction underwent a simple nephrectomy through a single incision performed using the SPIDER surgical system. We assessed the technical feasibility, efficiency, and perioperative outcomes.
The SPIDER-LESS nephrectomy was performed successfully without additional skin incisions for laparoscopic ports, instrument clashing, or open conversion. Total operative time was 210 minutes with blood loss of 50 mL. The patient experienced no intraoperative or postoperative complications. Pathologic evaluation confirmed atrophic renal parenchyma.
The SPIDER surgical system LESS nephrectomy is feasible and safe. Future refinements of the technology and prospective studies are needed to further optimize its application in urology.
本报告旨在描述我们使用 SPIDER（单端口器械输送延长臂腹腔镜单部位手术系统）进行单纯肾切除术的初步临床经验。
一名因肾盂输尿管连接部梗阻导致无功能肾脏的患者接受了经 SPIDER 手术系统单一切口的单纯肾切除术。我们评估了技术可行性、效率和围手术期结果。
SPIDER-LESS 肾切除术成功完成，无需额外的腹腔镜端口皮肤切口、器械碰撞或开放转换。总手术时间为 210 分钟，失血量为 50 毫升。患者无术中或术后并发症。病理评估证实为肾实质萎缩。
SPIDER 手术系统的 LESS 肾切除术是可行和安全的。需要进一步改进技术并进行前瞻性研究，以进一步优化其在泌尿外科中的应用。
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