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01-01-2016 | Original Article

Minilaparoscopy in urology: initial results after 32 cases

Authors: Victor T. Dubeux, Fabricio Carrerette, Gustavo Peçanha, Lucilio Medeiros, Pedro Gabrich, José Milfont, Ronaldo Damião

Published in: World Journal of Urology | Issue 1/2016

Abstract

Purpose

The use of minilaparoscopic instruments has gained interest in recent years, permitting a less invasive treatment for many surgical procedures. Its application in urological surgeries has not been established yet.

Methods

Between November 2012 and December 2014, 32 patients underwent minilaparoscopic surgeries, using 3.5-mm instruments. The procedures performed included pyeloplasties (16 cases), radical nephrectomies (2), simple nephrectomies (4), renal cyst decortication (5), ureterolithotomy (2) ureteral reimplantation (2) and partial ureterectomy (1).

Results

All the procedures were performed minilaparoscopically, except for one simple nephrectomy and one renal cyst decortication that were converted to a standard laparoscopic approach, due to intensive perioperative bleeding. One pyeloplasty had to be reoperated for a urinary fistula repair. All the patients had good-to-excellent cosmetic outcomes, except for one patient who developed keloids at her scars. Functional results were comparable to the ones described in the literature.

Conclusion

Minilaparoscopy is a feasible option for patients and physicians searching for a even less invasive procedure compared with the laparoscopic approach, with better cosmetic and the same functional and oncologic outcomes.

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Title: Minilaparoscopy in urology: initial results after 32 cases
Authors: Victor T. Dubeux
Fabricio Carrerette
Gustavo Peçanha
Lucilio Medeiros
Pedro Gabrich
José Milfont
Ronaldo Damião
Publication date: 01-01-2016
Publisher: Springer Berlin Heidelberg
Published in: World Journal of Urology / Issue 1/2016
Print ISSN: 0724-4983
Electronic ISSN: 1433-8726
DOI: https://doi.org/10.1007/s00345-015-1602-8

At a glance: The STEP trials

Springer Medicine

Minilaparoscopy in urology: initial results after 32 cases

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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