title: Retroperitoneoscopic single-site renal pedicle lymphatic disconnection for the treatment of serious filarial chyluria.
abstract: BACKGROUND
  To report our preliminary techniques and experience with retroperitoneoscopic single-site renal pedicle lymphatic disconnection (RPSS-RPLD) in five patients with serious filarial chyluria.
  
  
  METHODS
  Between May 2010 and July 2011, five patients with serious filarial chyluria underwent RPSS-RPLD. In the patients, a 3 cm single incision was made between the 12th subcostal margin and posterior axillary line, and a homemade single multichannel port using a surgical glove and three conventional trocars was placed into retroperitoneal space. The lymphatic disconnection was similar to traditional open surgery.
  
  
  RESULTS
  All the operations were successfully completed without conversion to open surgery. The mean operative time was 116 (102-145) minutes. The mean blood loss was estimated to be 98 (60-190) mL. Chyluria disappeared in all patients after surgery and did not recur during the follow up period (3-14, mean 7.6 months).
  
  
  CONCLUSIONS
  RPSS-RPLD is safe and feasible, with favorable short term outcomes and aesthetic effect.
authors.affiliation: Department of Urology, Fuzhou General Hospital, Xiamen University, Fuzhou, China.
authors.forename: Wenli
authors.initials: W
authors.lastname: Zhuo
authors.forename: Jinqian
authors.initials: J
authors.lastname: Chai
authors.forename: Tingzhao
authors.initials: T
authors.lastname: Xu
authors.forename: Weizhen
authors.initials: W
authors.lastname: Wu
authors.forename: Shunliang
authors.initials: S
authors.lastname: Yang
authors.forename: Jianming
authors.initials: J
authors.lastname: Tan
mesh_terms: D000328:Adult; D016063:Blood Loss, Surgical; D002913:Chyle / Q000378:metabolism*; D004605:Elephantiasis, Filarial / Q000378:metabolism / Q000601:surgery*; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007668:Kidney / Q000601:surgery*; D007902:Length of Stay; D008208:Lymphatic System / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D061646:Operative Time; D012187:Retroperitoneal Space; D012189:Retrospective Studies; D012371:Robotics / Q000379:methods*; D012720:Severity of Illness Index; D016896:Treatment Outcome