TY - JOUR
T1 - Initial experience with laparoendoscopic single-site simple nephrectomy using the TransEnterix SPIDER surgical system
T2 - Assessing feasibility and safety
AU - Leveillee, Raymond J.
AU - Castle, Scott M.
AU - Gorin, Michael A.
AU - Salas, Nelson
AU - Gorbatiy, Vladislav
PY - 2011/6/1
Y1 - 2011/6/1
N2 - Purpose: The goal of this report is to describe our initial clinical experience performing a simple nephrectomy with the SPIDER (Single Port Instrument Delivery Extended Reach) laparoendoscopic single-site (LESS) surgical system. Patient and Methods: One patient with a nonfunctioning kidney secondary to a ureteropelvic junction obstruction underwent a simple nephrectomy through a single incision performed using the SPIDER surgical system. We assessed the technical feasibility, efficiency, and perioperative outcomes. Results: The SPIDER-LESS nephrectomy was performed successfully without additional skin incisions for laparoscopic ports, instrument clashing, or open conversion. Total operative time was 210 minutes with blood loss of 50 mL. The patient experienced no intraoperative or postoperative complications. Pathologic evaluation confirmed atrophic renal parenchyma. Conclusions: The SPIDER surgical system LESS nephrectomy is feasible and safe. Future refinements of the technology and prospective studies are needed to further optimize its application in urology.
AB - Purpose: The goal of this report is to describe our initial clinical experience performing a simple nephrectomy with the SPIDER (Single Port Instrument Delivery Extended Reach) laparoendoscopic single-site (LESS) surgical system. Patient and Methods: One patient with a nonfunctioning kidney secondary to a ureteropelvic junction obstruction underwent a simple nephrectomy through a single incision performed using the SPIDER surgical system. We assessed the technical feasibility, efficiency, and perioperative outcomes. Results: The SPIDER-LESS nephrectomy was performed successfully without additional skin incisions for laparoscopic ports, instrument clashing, or open conversion. Total operative time was 210 minutes with blood loss of 50 mL. The patient experienced no intraoperative or postoperative complications. Pathologic evaluation confirmed atrophic renal parenchyma. Conclusions: The SPIDER surgical system LESS nephrectomy is feasible and safe. Future refinements of the technology and prospective studies are needed to further optimize its application in urology.
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U2 - 10.1089/end.2010.0730
DO - 10.1089/end.2010.0730
M3 - Article
C2 - 21568757
AN - SCOPUS:79959296185
SN - 0892-7790
VL - 25
SP - 923
EP - 925
JO - Journal of Endourology
JF - Journal of Endourology
IS - 6
ER -