Laparoscopic nephrectomy with single-portal access Gelpoint®in swines
PURPOSE: To analyze the viability of using Gelpoint® (single-port access) to make partial and total nephrectomy in pigs and to describe the technical difficulties found during these surgical procedures. METHODS: Ten pigs (Landrace specie) with 20kg in average were distributed in two groups. Group A: total right nephrectomy and Group B: partial left nephrectomy. The procedures were performed inside the Surgical Technique Room from Pontifícia Universidade Católica do Parana (PUCPR). RESULTS: In Group A, time to single-port insertion varied from one to two minutes and total time of the procedures were 20.4±8.2 minutes. Bleeding was under than 20 mL in 70% of animals. Time of instrument excision was 20.7±12 seconds and time of hilum dissection was 3.9±2.2 minutes. In Group B, after total contralateral nephrectomy two surgical procedures were not concluded due to bleeding. In this group, time of surgery was 6.8±4.2 minutes. With the exception of the second surgery, the highest blood volume loss was 50 mL. The mean excision time was 22.3 ± 22.3 seconds. CONCLUSION: Total and partial nephrectomy through umbilical single-access using GelPoint® was feasible and safe in pigs.
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Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia
2013
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oai:scielo:S0102-865020130011000062013-12-05Laparoscopic nephrectomy with single-portal access Gelpoint®in swinesMeyer,FernandoChueiri,LetíciaRadigonda,MaiaraGouveia,Denise Sbrissia e SilvaAraujo,Thais Tesser deMaschio,André GustavoRosa,Mateus Eduardo Rugilo Nephrectomy Laparoscopy Swine PURPOSE: To analyze the viability of using Gelpoint® (single-port access) to make partial and total nephrectomy in pigs and to describe the technical difficulties found during these surgical procedures. METHODS: Ten pigs (Landrace specie) with 20kg in average were distributed in two groups. Group A: total right nephrectomy and Group B: partial left nephrectomy. The procedures were performed inside the Surgical Technique Room from Pontifícia Universidade Católica do Parana (PUCPR). RESULTS: In Group A, time to single-port insertion varied from one to two minutes and total time of the procedures were 20.4±8.2 minutes. Bleeding was under than 20 mL in 70% of animals. Time of instrument excision was 20.7±12 seconds and time of hilum dissection was 3.9±2.2 minutes. In Group B, after total contralateral nephrectomy two surgical procedures were not concluded due to bleeding. In this group, time of surgery was 6.8±4.2 minutes. With the exception of the second surgery, the highest blood volume loss was 50 mL. The mean excision time was 22.3 ± 22.3 seconds. CONCLUSION: Total and partial nephrectomy through umbilical single-access using GelPoint® was feasible and safe in pigs.info:eu-repo/semantics/openAccessSociedade Brasileira para o Desenvolvimento da Pesquisa em CirurgiaActa Cirúrgica Brasileira v.28 n.11 20132013-11-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502013001100006en10.1590/S0102-86502013001100006 |
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Meyer,Fernando Chueiri,Letícia Radigonda,Maiara Gouveia,Denise Sbrissia e Silva Araujo,Thais Tesser de Maschio,André Gustavo Rosa,Mateus Eduardo Rugilo |
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Meyer,Fernando Chueiri,Letícia Radigonda,Maiara Gouveia,Denise Sbrissia e Silva Araujo,Thais Tesser de Maschio,André Gustavo Rosa,Mateus Eduardo Rugilo Laparoscopic nephrectomy with single-portal access Gelpoint®in swines |
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Meyer,Fernando Chueiri,Letícia Radigonda,Maiara Gouveia,Denise Sbrissia e Silva Araujo,Thais Tesser de Maschio,André Gustavo Rosa,Mateus Eduardo Rugilo |
author_sort |
Meyer,Fernando |
title |
Laparoscopic nephrectomy with single-portal access Gelpoint®in swines |
title_short |
Laparoscopic nephrectomy with single-portal access Gelpoint®in swines |
title_full |
Laparoscopic nephrectomy with single-portal access Gelpoint®in swines |
title_fullStr |
Laparoscopic nephrectomy with single-portal access Gelpoint®in swines |
title_full_unstemmed |
Laparoscopic nephrectomy with single-portal access Gelpoint®in swines |
title_sort |
laparoscopic nephrectomy with single-portal access gelpoint®in swines |
description |
PURPOSE: To analyze the viability of using Gelpoint® (single-port access) to make partial and total nephrectomy in pigs and to describe the technical difficulties found during these surgical procedures. METHODS: Ten pigs (Landrace specie) with 20kg in average were distributed in two groups. Group A: total right nephrectomy and Group B: partial left nephrectomy. The procedures were performed inside the Surgical Technique Room from Pontifícia Universidade Católica do Parana (PUCPR). RESULTS: In Group A, time to single-port insertion varied from one to two minutes and total time of the procedures were 20.4±8.2 minutes. Bleeding was under than 20 mL in 70% of animals. Time of instrument excision was 20.7±12 seconds and time of hilum dissection was 3.9±2.2 minutes. In Group B, after total contralateral nephrectomy two surgical procedures were not concluded due to bleeding. In this group, time of surgery was 6.8±4.2 minutes. With the exception of the second surgery, the highest blood volume loss was 50 mL. The mean excision time was 22.3 ± 22.3 seconds. CONCLUSION: Total and partial nephrectomy through umbilical single-access using GelPoint® was feasible and safe in pigs. |
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Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia |
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2013 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502013001100006 |
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