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Two-port laparoscopic reconstructive surgery of the urinary tract with reusable umbilical system (hybrid less): a proof of concept study

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dc.contributor.author Angulo Cuesta, Javier
dc.contributor.author Pérez, S.
dc.contributor.author García-Tello, Ana
dc.contributor.author Redondo, Cristina
dc.contributor.author Meilán, E.
dc.contributor.author Arance Gil, José Ignacio
dc.date.accessioned 2018-06-20T08:48:48Z
dc.date.available 2018-06-20T08:48:48Z
dc.date.issued 2016
dc.identifier.citation Angulo, J. C., Pérez, S., García-Tello, A., Redondo, C., Meilán, E., & Arance, I. (2016). Two-port laparoscopic reconstructive surgery of the urinary tract with reusable umbilical system (hybrid less): a proof of concept study. Urologia Internationalis, 97(2), 179-185. DOI: 10.1159/000444419 spa
dc.identifier.issn 0042-1138
dc.identifier.issn 1423-0399
dc.identifier.uri http://hdl.handle.net/11268/7313
dc.description.abstract Objectives: We compared perioperative results and complications of reconstructive surgery of the urinary tract performed using a multichannel platform through the umbilicus and one additional 3.5-mm with a cohort of patients simultaneously treated with conventional 4-port laparoscopy. Materials and methods: Matched-pair study comparing perioperative outcomes, postoperative visual analogue pain scale (VAPS) and morbidity of 2-port (n = 20) and 4-port (n = 10) laparoscopic reconstructive urological surgery. Preoperative and perioperative data compared included demographics, type of surgery, operative time, blood loss, decrease in serum hemoglobin, operative complications, length of stay and postoperative complications according to Clavien-Dindo classification. Results: There was no significant difference between groups regarding age, gender, body mass index, American Society of Anesthesiologists score, type of surgery, operative time, operative complications and intraoperative or postoperative transfusion. Estimated blood loss was lower using reduced-port approach. VAPS at postoperative day one was significantly lower for 2-port approach and so was the length of stay. Patient satisfaction with the wound was higher for 2-port surgery. Differences were not observed in number and severity of postoperative complications. Conclusions: Urological reconstructive operations can be safely performed using the hybrid laparoendoscopic single-site umbilical approach, resulting in lower blood loss, higher patient satisfaction and lower postoperative pain, which also facilitate earlier hospital discharge, than the same reconstructive procedures performed through multiport conventional laparoscopy. spa
dc.description.sponsorship SIN FINANCIACIÓN spa
dc.language.iso eng spa
dc.title Two-port laparoscopic reconstructive surgery of the urinary tract with reusable umbilical system (hybrid less): a proof of concept study spa
dc.type article spa
dc.description.impact 1.611 JCR (2016) Q3, 49/77 Urology & Nephrology spa
dc.identifier.doi 10.1159/000444419
dc.rights.accessRights closedAccess spa
dc.subject.uem Laparoscopia spa
dc.subject.uem Cirugía plástica spa
dc.subject.uem Aparato urinario spa
dc.subject.unesco Cirugía spa
dc.subject.unesco Tecnología médica spa
dc.description.filiation UEM spa
dc.peerreviewed Si spa


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