BMC urology · 2025
Single-position intraperitoneal laparoscopic radical nephroureterectomy using a modified supine position.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Han Xiaomin, Zhou Menghao, Xiong Ming, Xiao Yajun, Wu Yuqi, Jiang Huiling, Tu Mengjiang, Wu Song, Hou Teng
Аннотация
PURPOSE: To describe a novel single-position intraperitoneal laparoscopic surgery (SP-ILS) technique for radical nephroureterectomy (RNU) and bladder cuff excision (BCE) in the supine position.
METHODS: Between January 2019 and June 2023, 40 patients with UTUC underwent laparoscopic RNU and BCE using the SP-ILS technique. Clinical, perioperative, and pathological data were retrospectively analyzed.
RESULTS: All procedures were performed laparoscopically without patient repositioning. No intraoperative or postoperative complications occurred. The mean operative time was 101.0 ± 24.5 minutes, and mean estimated blood loss was 53 ± 27.0 mL. The median postoperative hospital stay was 4.2 ± 1.1 days. Postoperative pathology revealed Ta in 14 patients, T1 in 21 patients, and T2 in 5 patients. During a mean follow-up of 12.9 months (range, 2-24), one patient developed bladder recurrence.
CONCLUSIONS: The SP-ILS technique offers direct visualization, reproducible bladder cuff excision, and efficient single-position workflow during both LRNU and BCE.
METHODS: Between January 2019 and June 2023, 40 patients with UTUC underwent laparoscopic RNU and BCE using the SP-ILS technique. Clinical, perioperative, and pathological data were retrospectively analyzed.
RESULTS: All procedures were performed laparoscopically without patient repositioning. No intraoperative or postoperative complications occurred. The mean operative time was 101.0 ± 24.5 minutes, and mean estimated blood loss was 53 ± 27.0 mL. The median postoperative hospital stay was 4.2 ± 1.1 days. Postoperative pathology revealed Ta in 14 patients, T1 in 21 patients, and T2 in 5 patients. During a mean follow-up of 12.9 months (range, 2-24), one patient developed bladder recurrence.
CONCLUSIONS: The SP-ILS technique offers direct visualization, reproducible bladder cuff excision, and efficient single-position workflow during both LRNU and BCE.