Laparoendoscopic single-site unclamped nephron-sparing surgery: a case report.
A 43-yr-old man with left lumbar pain was diagnosed as having a growing renal angiomyolipoma at imaging. TriPort laparoscopic nephron-sparing surgery (NSS) without ischemia was performed. The TriPort was inserted through a 4-cm pararectal incision, and with the use of 5-mm instruments, left-unclamped NSS was performed and completed in 165 min (blood loss: 180 ml). Postoperative treatment was uneventful with favorable short-term outcomes and high patient satisfaction at 12-mo follow-up. This technique should be attempted in highly selected patients with favorable tumor anatomic features and performed by an experienced laparoscopic team.
Cindolo
Luca
L
Urology Department, S Pio da Pietrelcina Hospital, Vasto, CH, Italy. lucacindolo@virgilio.it
Berardinelli
Francesco
F
Bellocci
Roberto
R
Schips
Luigi
L
D018207:Angiomyolipoma / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D001706:Biopsy; D006801:Humans; D007680:Kidney Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000379:methods*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome