title: Suprapubic-assisted umbilical laparoendoscopic mini-dual-site surgery in the treatment of simple kidney cyst: report of 26 cases.
abstract: This study was designed to evaluate the safety and efficacy of suprapubic-assisted umbilical laparoendoscopic mini-dual-site surgery (SAU-LEMDS) with satisfied cosmetic outcome in minimal size of surgical incision for the treatment of simple kidney cyst at large size. Twenty-six consecutive patients (16 male and 10 female), aged 48.5 ± 4.1 years (range: 18 to 70 years), were enrolled in this study. All cases had simple kidney cysts including 18 cases on the left side and 8 cases on the right, with a mean cyst maximum diameter of 7.5 ± 0.8 cm. Under general anesthesia, the patients were placed in flank position with affected side elevated by 70°. Two trocars (5.5 mm in diameter) were inserted via the umbilical port. The third trocar was inserted into abdominal cavity above the pubic hairline for the placement of a 5-mm 30° laparoscope. The surgery procedures were successfully performed in the same manner as standard laparoscope-assisted kidney cyst decortication in all cases. The specimens were obtained through either of two umbilical ports without additional enlarge incisions. The mean operation time was 30 ± 8.2 min and the mean blood loss was 10.3 ± 2.1 ml. The duration of hospitalization was 4.2 ± 0.9 days, and the mean follow-up was two months (range: 1 to 3 months). Postoperatively, surgical wounds were small and healed well and cosmetic outcomes were satisfactory. No recurrent kidney cysts were found during follow up. SAU-LEMDS appears to be a feasible, safe and effective surgical option for simple kidney cyst, which not only leads to better cosmetic effects, but also decreases the complexity of umbilical laparoendoscopic single site surgery (U-LESS).
authors.affiliation: Department of Urology, Dongguan People's Hospital, Dongguan, Guangdong, China.
authors.forename: Daosheng
authors.initials: D
authors.lastname: Luo
authors.forename: Guihua
authors.initials: G
authors.lastname: Liu
authors.forename: Junhua
authors.initials: J
authors.lastname: Mo
authors.forename: Lihua
authors.initials: L
authors.lastname: Xiao
authors.forename: Qiang
authors.initials: Q
authors.lastname: Xie
authors.forename: Mu
authors.initials: M
authors.lastname: Li
authors.forename: Zengqiang
authors.initials: Z
authors.lastname: Zhang
authors.forename: Jianjun
authors.initials: J
authors.lastname: Lu
authors.forename: Zhenfeng
authors.initials: Z
authors.lastname: Liang
authors.forename: Xiangjun
authors.initials: X
authors.lastname: Meng
authors.forename: Yuanyuan
authors.initials: Y
authors.lastname: Zhang
authors.forename: Chunhua
authors.initials: C
authors.lastname: Deng
authors.forename: Qiwu
authors.initials: Q
authors.lastname: Mi
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003560:Cysts; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000601:surgery*; D010535:Laparoscopy / Q000295:instrumentation* / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D014057:Tomography, X-Ray Computed; D014472:Umbilicus / Q000601:surgery*