TY - EJOU
AU - Zhuo, Wenli
AU - Chai, Jinqian
AU - Xu, Tingzhao
AU - Wu, Weizhen
AU - Yang, Shunliang
AU - Tan, Jianming
TI - Retroperitoneoscopic single-site renal pedicle lymphatic disconnection for the treatment of serious filarial chyluria
T2 - Canadian Journal of Urology
PY - 2013
VL - 20
IS - 2
SN - 1488-5581
AB - 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.
KW - renal pedicle lymphatic disconnection (RPLD)
KW - single-site
KW - chyluria
DO -