Open Access

MINIMALLY INVASIVE AND ROBOTIC SURGERY

Retroperitoneoscopic single-site renal pedicle lymphatic disconnection for the treatment of serious filarial chyluria

Wenli Zhuo, Jinqian Chai, Tingzhao Xu, Weizhen Wu, Shunliang Yang, Jianming Tan

Department of Urology, Fuzhou General Hospital, Xiamen University, Fuzhou, China
Address correspondence to Dr. Jianming-Tan, Department of Urology, Fuzhou General Hospital, Xiamen University, Fuzhou, 350025, Fujian, China

Canadian Journal of Urology 2013, 20(2), 6726-6729.

Abstract

Introduction: To report our preliminary techniques and experience with retroperitoneoscopic single-site renal pedicle lymphatic disconnection (RPSS-RPLD) in five patients with serious filarial chyluria.
Materials and methods: Between May 2010 and July 2011, five patients with serious filarial chyluria underwent RPSS-RPLD. In each patient, 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 the retroperitoneal space. The lymphatic disconnection procedure was similar to that of traditional open surgery.
Results: All operations were successfully completed without conversion to open surgery. The mean operative time was 116 minutes (range: 102–145). The mean estimated blood loss was 98 mL (range: 60–190). Chyluria disappeared in all patients after surgery and did not recur during the follow-up period (3–14 months, mean 7.6 months).
Conclusion: RPSS-RPLD is safe and feasible, with favorable short-term outcomes and aesthetic effect.

---

Keywords

---