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 -