Hand assisted laparoscopic radical nephrectomy for renal carcinoma using a new abdominal wall sealing device

Masatoshi Tanaka, Noriaki Tokuda, Hirohumi Koga, Akira Yokomizo, Naotaka Sakamoto, Seiji Naito

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

Purpose: We report our initial experience with a hand assisted laparoscopic radical nephrectomy for patients with renal carcinoma, and compare our results to those of conventional open radical nephrectomy. Materials and Methods: The clinical data on 6 consecutive patients who underwent hand assisted laparoscopic radical nephrectomy for stage T1N0M0 renal cell carcinoma were reviewed. We performed hand assisted laparoscopic surgery using the new LAP DISC abdominal wall sealing device. We compared the results of this procedure with those of conventional open radical nephrectomy in 12 patients with stage T1N0M0 renal cell carcinoma. Results: The hand assisted laparoscopic radical nephrectomy for renal carcinoma was successfully performed without any major or minor complications in all 6 patients. Mean operation time for the laparoscopic group was significantly longer than that for the open surgery group (303 minutes versus 224 minutes, p = 0.0042). However, no significant difference was observed in mean estimated blood loss for the 2 groups (264 ml. in the laparoscopic group versus 341 ml. in the open surgery group). The frequency of parenteral analgesia postoperatively in the laparoscopic group was significantly lower than that in the open surgery group (16.7% versus 75.0%, p = 0.043). In addition, the laparoscopic group seemed to recover more rapidly than the open surgery group. The abdominal wall sealing device was easy to attach to the abdominal wall, and allowed rapid hand removal and reinsertion. Conclusions: Our preliminary results indicate that a hand assisted laparoscopic radical nephrectomy with the abdominal wall sealing device is an effective and safe surgical procedure, and is less invasive than open radical nephrectomy.

Original languageEnglish
Pages (from-to)314-318
Number of pages5
JournalJournal of Urology
Volume164
Issue number2
DOIs
Publication statusPublished - Aug 2000

Fingerprint

Abdominal Wall
Nephrectomy
Hand
Carcinoma
Kidney
Equipment and Supplies
Renal Cell Carcinoma
Hand-Assisted Laparoscopy
Analgesia

All Science Journal Classification (ASJC) codes

  • Urology

Cite this

Hand assisted laparoscopic radical nephrectomy for renal carcinoma using a new abdominal wall sealing device. / Tanaka, Masatoshi; Tokuda, Noriaki; Koga, Hirohumi; Yokomizo, Akira; Sakamoto, Naotaka; Naito, Seiji.

In: Journal of Urology, Vol. 164, No. 2, 08.2000, p. 314-318.

Research output: Contribution to journalArticle

Tanaka, Masatoshi ; Tokuda, Noriaki ; Koga, Hirohumi ; Yokomizo, Akira ; Sakamoto, Naotaka ; Naito, Seiji. / Hand assisted laparoscopic radical nephrectomy for renal carcinoma using a new abdominal wall sealing device. In: Journal of Urology. 2000 ; Vol. 164, No. 2. pp. 314-318.
@article{170a7292df604994a47187f959a9d12d,
title = "Hand assisted laparoscopic radical nephrectomy for renal carcinoma using a new abdominal wall sealing device",
abstract = "Purpose: We report our initial experience with a hand assisted laparoscopic radical nephrectomy for patients with renal carcinoma, and compare our results to those of conventional open radical nephrectomy. Materials and Methods: The clinical data on 6 consecutive patients who underwent hand assisted laparoscopic radical nephrectomy for stage T1N0M0 renal cell carcinoma were reviewed. We performed hand assisted laparoscopic surgery using the new LAP DISC abdominal wall sealing device. We compared the results of this procedure with those of conventional open radical nephrectomy in 12 patients with stage T1N0M0 renal cell carcinoma. Results: The hand assisted laparoscopic radical nephrectomy for renal carcinoma was successfully performed without any major or minor complications in all 6 patients. Mean operation time for the laparoscopic group was significantly longer than that for the open surgery group (303 minutes versus 224 minutes, p = 0.0042). However, no significant difference was observed in mean estimated blood loss for the 2 groups (264 ml. in the laparoscopic group versus 341 ml. in the open surgery group). The frequency of parenteral analgesia postoperatively in the laparoscopic group was significantly lower than that in the open surgery group (16.7{\%} versus 75.0{\%}, p = 0.043). In addition, the laparoscopic group seemed to recover more rapidly than the open surgery group. The abdominal wall sealing device was easy to attach to the abdominal wall, and allowed rapid hand removal and reinsertion. Conclusions: Our preliminary results indicate that a hand assisted laparoscopic radical nephrectomy with the abdominal wall sealing device is an effective and safe surgical procedure, and is less invasive than open radical nephrectomy.",
author = "Masatoshi Tanaka and Noriaki Tokuda and Hirohumi Koga and Akira Yokomizo and Naotaka Sakamoto and Seiji Naito",
year = "2000",
month = "8",
doi = "10.1016/S0022-5347(05)67348-X",
language = "English",
volume = "164",
pages = "314--318",
journal = "Journal of Urology",
issn = "0022-5347",
publisher = "Elsevier Inc.",
number = "2",

}

TY - JOUR

T1 - Hand assisted laparoscopic radical nephrectomy for renal carcinoma using a new abdominal wall sealing device

AU - Tanaka, Masatoshi

AU - Tokuda, Noriaki

AU - Koga, Hirohumi

AU - Yokomizo, Akira

AU - Sakamoto, Naotaka

AU - Naito, Seiji

PY - 2000/8

Y1 - 2000/8

N2 - Purpose: We report our initial experience with a hand assisted laparoscopic radical nephrectomy for patients with renal carcinoma, and compare our results to those of conventional open radical nephrectomy. Materials and Methods: The clinical data on 6 consecutive patients who underwent hand assisted laparoscopic radical nephrectomy for stage T1N0M0 renal cell carcinoma were reviewed. We performed hand assisted laparoscopic surgery using the new LAP DISC abdominal wall sealing device. We compared the results of this procedure with those of conventional open radical nephrectomy in 12 patients with stage T1N0M0 renal cell carcinoma. Results: The hand assisted laparoscopic radical nephrectomy for renal carcinoma was successfully performed without any major or minor complications in all 6 patients. Mean operation time for the laparoscopic group was significantly longer than that for the open surgery group (303 minutes versus 224 minutes, p = 0.0042). However, no significant difference was observed in mean estimated blood loss for the 2 groups (264 ml. in the laparoscopic group versus 341 ml. in the open surgery group). The frequency of parenteral analgesia postoperatively in the laparoscopic group was significantly lower than that in the open surgery group (16.7% versus 75.0%, p = 0.043). In addition, the laparoscopic group seemed to recover more rapidly than the open surgery group. The abdominal wall sealing device was easy to attach to the abdominal wall, and allowed rapid hand removal and reinsertion. Conclusions: Our preliminary results indicate that a hand assisted laparoscopic radical nephrectomy with the abdominal wall sealing device is an effective and safe surgical procedure, and is less invasive than open radical nephrectomy.

AB - Purpose: We report our initial experience with a hand assisted laparoscopic radical nephrectomy for patients with renal carcinoma, and compare our results to those of conventional open radical nephrectomy. Materials and Methods: The clinical data on 6 consecutive patients who underwent hand assisted laparoscopic radical nephrectomy for stage T1N0M0 renal cell carcinoma were reviewed. We performed hand assisted laparoscopic surgery using the new LAP DISC abdominal wall sealing device. We compared the results of this procedure with those of conventional open radical nephrectomy in 12 patients with stage T1N0M0 renal cell carcinoma. Results: The hand assisted laparoscopic radical nephrectomy for renal carcinoma was successfully performed without any major or minor complications in all 6 patients. Mean operation time for the laparoscopic group was significantly longer than that for the open surgery group (303 minutes versus 224 minutes, p = 0.0042). However, no significant difference was observed in mean estimated blood loss for the 2 groups (264 ml. in the laparoscopic group versus 341 ml. in the open surgery group). The frequency of parenteral analgesia postoperatively in the laparoscopic group was significantly lower than that in the open surgery group (16.7% versus 75.0%, p = 0.043). In addition, the laparoscopic group seemed to recover more rapidly than the open surgery group. The abdominal wall sealing device was easy to attach to the abdominal wall, and allowed rapid hand removal and reinsertion. Conclusions: Our preliminary results indicate that a hand assisted laparoscopic radical nephrectomy with the abdominal wall sealing device is an effective and safe surgical procedure, and is less invasive than open radical nephrectomy.

UR - http://www.scopus.com/inward/record.url?scp=0033940969&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0033940969&partnerID=8YFLogxK

U2 - 10.1016/S0022-5347(05)67348-X

DO - 10.1016/S0022-5347(05)67348-X

M3 - Article

C2 - 10893573

AN - SCOPUS:0033940969

VL - 164

SP - 314

EP - 318

JO - Journal of Urology

JF - Journal of Urology

SN - 0022-5347

IS - 2

ER -