- Email: [email protected]
V6 LEFT LESS PARTIAL NEPHRECTOMY WITHOUT ISCHEMIA: FIRST EXPERIENCE
ᚏOWUDWLRQUDWHZDV DYHUDJH WKUHHPRQWKVDIWHUWKHRSHUDWLRQ Conclusions: 0,(6SDUWLDOQHSKUHFWRP\LVPLQLPDOO\LQYDVLYHFXUDWLYHVDIHDQG D FRVWHᚎHFWLYH RSHUDWLRQ 7KLV FDUERQ IUHH HFRVXUJHU\ LV IULHQGO\ WR WKH JOREDO HQYLURQPHQW
V5
NOTES HYBRID TRANSVAGINAL UPPER POLE HEMINEPHRECTOMY
'H$QGUDGH5&DUPRQD25DPLUH]'0HMLD&*LHGHOPDQ& +HUUHUD(&DQHV'$URQ0'HVDL0*LOO,6RWHOR5 1 Institute Medico la Floresta, Dept. of Urology, Caracas, Venezuela, 2Lahey Clinic Medical Centre, Dept. of Urology, Burlington, United States of America, 3 University of Southern California, Dept. of Urology, Los Angeles, United States of America Introduction & Objectives: 'XSOLFDWLRQRIWKHXUHWHUDQGUHQDOSHOYLVLVWKHPRVW FRPPRQ DQRPDO\ RI WKH XSSHU XULQDU\ WUDFW 8SSHU SROH KHPLQHSKUHFWRP\ LV D WUHDWPHQWRSWLRQZKHQGXSOLFDWLRQDQRPDOLHVDUHDVVRFLDWHGZLWKXUHWHUDOHFWRSLD RUXUHWHURFHOHZLWKDQDVVRFLDWHGQRQIXQFWLRQLQJRULQIHFWHGXSSHUSROHPRLHW\ :HGHVFULEHD127(6K\EULGWUDQVYDJLQDOXSSHUSROHKHPLQHSKUHFWRP\LQD \HDUROGZLWKUHFXUUHQWLQIHFWLRQVLQDSRRUO\IXQFWLRQLQJULJKWXSSHUSROHPRLHW\ Material & Methods: 7KHSURFHGXUHZDVSHUIRUPHGZLWKDEDULDWULFWURFDULQWKH YDJLQD DQG D PXOWLFKDQQHO VLQJOHSRUW GHYLFH 7ULSRUW 2O\PSXV 6XUJLFDO LQ WKH XPELOLFXV7KHFRORQZDVPRELOL]HG%RWKXUHWHUVZHUHLGHQWLᚏHG7KHXSSHUSROH XUHWHUZDVWUDFHGWRWKHXSSHUSROH7KHXUHWHUZDVWUDQVHFWHGDQGUHOHDVHGIURP EHKLQGWKHKLODUYDVFXODWXUH9DVFXODUVXSSO\WRWKHXSSHUSROHZDVLGHQWLᚏHGDQG GLYLGHG 8OWUDVRQLF VFDOSHO ZDV XVHG IRU KHPLQHSKUHFWRP\ 7KH VSHFLPHQ ZDV UHWULHYHGWKURXJKWKHYDJLQD Results: 2SHUDWLYHWLPHZDVPLQXWHV%ORRGORVVZDVFF$IWHURQHZHHN SDWLHQWGHYHORSHGXULQRPDDWWKHVXUJLFDOVLWHDQGZDVUHH[SORUHGODSDURVFRSLFDOO\ 7KHFXWHGJHRIWKHKHPLQHSKUHFWRP\GHIHFWZDVIXOJXUDWHGDQGDGUDLQSODFHG 7KHSDWLHQWUHFRYHUHGXQHYHQWIXOO\IROORZLQJUHH[SORUDWLRQ Conclusions: +\EULG 127(6 WUDQVYDJLQDO KHPLQHSKURXUHWHUHFWRP\ LV IHDVLEOH +DYLQJ ERWK WKH WUDQVYDJLQDO SRUW DQG XPELOLFDO SRUW UHVWRUHV PXFK QHHGHG WULDQJXODWLRQZKLOHVWLOODFKLHLYLQJDYLUWXDOO\VFDUIUHHUHVXOW7KHK\EULGDSSURDFK VHUYHVDVDVDIHVWHSSLQJVWRQHWRZDUGVSXUH127(6SURFHGXUHV
V6
LEFT LESS PARTIAL NEPHRECTOMY WITHOUT ISCHEMIA: FIRST EXPERIENCE
*LGDUR*6&LQGROR&/6FKLSV6/ 1 University G.D’Annunzio, Dept. of Surgical Science, Chieti, Italy, 2S.pio Hospital, Dept. of Urology, Vasto, Italy Introduction & Objectives: 7KH ODSDURVFRSLF SDUWLDO QHSKUHFWRP\ ZLWK D VLQJOH SRUWLVRQHRIWKHELJJHVWDGYDQFHPHQWVLQWKHᚏHOGRIWKLUGJHQHUDWLRQODSDURVFRSLF VXUJHU\ /DSDUR (QGRVFRSLF 6LQJOH 6LWH 6XUJHU\ /(66 8S WR GD\ KDYH EHHQ GHVFULEHGRQO\YHU\IHZRSHUDWLRQVSHUIRUPHGE\OHDGLQJVXUJHRQVLQODSDURVFRS\ +HUH ZH UHSRUW WKH ᚏUVW RSHUDWLRQ SHUIRUPHG LQ ,WDO\ IRU ODSDURVFRSLF SDUWLDO QHSKUHFWRP\ ZLWKRXW LVFKHPLD SHUIRUPHG ZLWK PXOWLFKDQQHO WURFDU 53RUW RU 7ULSRUW Material & Methods: 7KH YLGHR GHVFULEHV WKH FDVH RI D \HDUV ROG SDWLHQW VXᚎHULQJIURPXSSHUSROHUHQDOOHVLRQRIFPLQPD[LPXPGLDPHWHUVXVSLFLRQ IRUDQJLRP\ROLSRPDLQFUHDVHGLQVL]HRYHUWKHSDVWWZR\HDUV7KURXJKDFP OHIWSDUDUHFWDOLQFLVLRQRIDPXOWLFKDQQHO 53RUW WURFDUZDVSODFHGIROORZLQJWKH PDQXIDFWXUHUಬVLQVWUXFWLRQVPPrRSWLFDQGWZRPPLQVWUXPHQWVZHUHXVHG (QGRJUDVS5RWLFXODWRUDQG/LJDVXUH$GYDQFH 7KHUHQDOYHVVHOVZHUHSUHSDUHG DQG H[SRVHG WKHQ ZLWKRXW LVFKHPLD WKH WXPRXU ZDV UHVHFWHG ZLWK /LJDVXUH $GYDQFH 7KH WXPRXU KDV EHHQ H[WUDFWHG WKURXJK PP ODSDURVFRSLF EDJ +DHPRVWDVLV ZDV VHFXUHG ZLWK ELSRODU FDXWHU\ )ORVHDO DQG 7DERWDPS ZLWK QR VWLWFKRQWKHFROOHFWRUV\VWHPRUWKHNLGQH\FRUWH[ Results: 7KHLQWHUYHQWLRQZDVFRPSOHWHGVXFFHVVIXOO\ZLWKWKHRSHUDWLQJWLPHRI PLQWKHEORRGORVVZDVPO7KHUHZHUHQRSUHRSHUDWLYHFRPSOLFDWLRQVWKH SDWLHQWZDVGLVFKDUJHLQSRVWRSHUDWLYHGD\+LVWRORJLFDOH[DPLQDWLRQFRQᚏUPHG WKHEHQLJQQDWXUHRIWKHOHVLRQVXUJLFDOPDUJLQVZHUHQHJDWLYH Conclusions: 7KLVYLGHRGHPRQVWUDWHVWKHIHDVLELOLW\RIPXOWLWURFDUODSDURVFRSLF SURFHGXUHLQDYHU\FRPSOH[LVVXH,WUHPDLQVWRGHPRQVWUDWHWKHDGYDQWDJHVLQ FRVPHWLFDQGRQFRORJLFDORXWFRPHVLQEURDGHUVHULHV
V7
LESS TRANSUMBILICAL RADICAL NEPHRECTOMY
$OFDUD]$3HUL/0XVTXHUD00ROLQD$5LEDO0- Hospital Clinic, Dept. of Urology, Barcelona, Spain Introduction & Objectives: :H SUHVHQW RXU LQLWLDO H[SHULHQFH WUDQVXPELOLFDO ODSDURVFRSLFVLQJOHVLWHVXUJHU\ /(66 UDGLFDOQHSKUHFWRP\ Material & Methods: 7KLV LV FDVH RI DQ \HDU ROG ZRPDQ ZLWK DQ LQFLGHQWDO FPOHIWUHQDOWXPRXU1RFOLQLFDOKLVWRU\RILQWHUHVWRWKHUWKDQPRUELGREHVLW\ D %0, RI 2Q SK\VLFDO H[DPLQDWLRQ D UHGXFWLEOH XPELOLFDO KHUQLD ZDV QRWLFHG )RU WKLV UHDVRQ D WUDQVXPELOLFDO /(66 DSSURDFK ZDV GHFLGHG ZLWK SRVWHULRU KHUQLDUHSDLU7KHSDWLHQWZDVSODFHGLQDULJKWODWHUDOGHFXELWXV$FPLQFLVLRQ
Eur Urol Suppl 2010;9(2):336
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esults: ,QWKLVFDVHVXUJLFDOWLPHZDVRIPLQXWHVEORRGORVVFFDQGWKH KRVSLWDOOHQJWKRIVWD\GD\V1RSRVWRSHUDWLYHFRPSOLFDWLRQRFFXUUHGDQGDIWHU 7KH RSHUDWLYH WLPH ZDV PLQXWHV ZLWK DQ HVWLPDWHG EORRG ORVV RI FF 1R LQWUDRUSRVWRSHUDWLYHFRPSOLFDWLRQRFFXUUHG7KHᚏQDOSDWKRORJ\UHSRUWGHVFULEHG DUHQDOFHOOFDUFLQRPDFPORQJVWDJH37%)XKUPDQZLWKQHJDWLYHPDUJLQV $IWHUPRQWKVRIIROORZXSWKHSDWLHQWLVDV\PSWRPDWLFDQGQRKHUQLDUHFXUUHQFH KDVEHHQQRWLFH Conclusions: 7UDQVXPELOLFDO ODSDURVFRSLF VLQJOHVLWH VXUJHU\ /(66 UDGLFDO QHSKUHFWRP\LVDIHDVLEOHDQGVDYHSURFHGXUHWKDWSURYLGHJRRGFRVPHWLFVUHVXOWV DQGTXLFNUHFRYHU\
Video Session 2 LESS AND ROBOTICS IN ADRENAL AND PROSTATIC SURGERY Saturday, 17 April, 16.00-17.30, Amsterdam Room
V8
LESS ADRENALECTOMY
*LGDUR6&LQGROR/6FKLSV/1HUL) 1 University G.D’Annunzio, Dept. of Surgical Science, Chieti, Italy, 2Urology Unit, Dept. of Surgery, Vasto, Italy Introduction & Objectives: /DSDURHQGRVFRSLFVLQJOHVLWHVXUJHU\ /(66 LVRQH RIWKHPRVWLQWHUHVWLQJVXUJLFDODGYDQFHV:HSHUIRUPHG/(66DGUHQDOHFWRP\LQ WKUHHSDWLHQWVWRDVVHVVIHDVLELOLW\VDIHW\DQGSHULRSHUDWLYHRXWFRPHV Material & Methods: 7KUHHSDWLHQWVZLWKQRQIXQFWLRQDODGUHQDOPDVVHVXQGHUZHQW 7UL3RUW70DGUHQDOHFWRP\'HPRJUDSKLFVSHULRSHUDWLYHDQGSDWKRORJLFDOUHFRUGV ZHUH FROOHFWHG WRJHWKHU ZLWK SRVWRSHUDWLYH GDWD 7UL3RUW70 ZHUH XVHG WKURXJK D FP VXEFRVWDO LQFLVLRQ ZLWK PP rRSWLF DQG WZR PP LQVWUXPHQWV 7KH VSHFLPHQVZHUHH[WUDFWHGYLDDPPEDJLQVWHDGRIWKHRSWLF Results: 7UL3RUW70 DGUHQDOHFWRP\ ZDV VXFFHVVIXOO\ FRPSOHWHG LQ DOO FDVHV 7KHPHDQRSHUDWLYHWLPHZDVPLQ PHDQEORRGORVVPO 1RSHULRSHUDWLYH FRPSOLFDWLRQVZHUHUHFRUGHG3DWKRORJ\H[DPLQDWLRQFRQᚏUPHGDGHQRPDOXQJ FDQFHUPHWDVWDVLVDQGP\HOROLSRPD Conclusions: /(66DGUHQDOHFWRP\LVIHDVLEOHVDIHZLWKIDYRXUDEOHSHULRSHUDWLYH DQG VKRUWWHUP RXWFRPHV ,W LV WHFKQLFDOO\ PRUH FKDOOHQJLQJ WKDQ VWDQGDUG ODSDURVFRS\DQGUHTXLUHVDGYDQFHGVXUJLFDOVNLOOV3URVSHFWLYHVWXGLHVDUHQHHGHG IRUIXUWKHUFRQFOXVLRQV
V9
LAPAROSCOPIC SINGLE PORT ADRENALECTOMY
0DVVRXG:,OLHVFX%)HQQRXUL0'XPRQFHDX2&HGGDKD0 %DXPHUW+ 1 Bicêtre Hospital, Dept. of Urology, Le Kremlin-Bicêtre, France, 2Paris SaintJoseph Hospital Trust, Dept. of Urology, Paris, France, 3Paris Saint-Joseph Hospital Trust, Dept. of Anaesthesiology, Paris, France Introduction & Objectives: 6LQJOH SRUW DFFHVV WUDQVXPELOLFDO ODSDURVFRS\ KDV EHHQ UHFHQWO\ DGYRFDWHG IRU PDQ\ XURORJLFDO SURFHGXUHV 7KLV ᚏOP VKRZHG WKH DSSOLFDWLRQRIWKLVWHFKQLTXHGXULQJDODSDURVFRSLFDGUHQDOHFWRP\ Material & Methods: :HSUHVHQWWKHFDVHRID\HDUROGZRPDQZKRXQGHUZHQW ODSDURVFRSLFDGUHQDOHFWRP\IRU&RKQಬVDGHQRPD7KH6LQJOHSRUWDFFHVVWHFKQLTXH ZDVSURSRVHGIRUFRVPHWLFUHDVRQV$VLQJOHSHULXPELOLFDOLQFLVLRQZDVSHUIRUPHG IRUWKHLPSODQWDWLRQXVLQJRSHQODSDURVFRS\RIDPXOWLFKDQQHOSRUWGHYLFH 'LDEROR VKDSH 7KLV SRUW DOORZHG WKH LQVHUWLRQ RI D PP RSWLF OHQV DQG WZR DGGLWLRQDO GHYLFHVRIPPWRR$UWLFXODWLQJODSDURVFRSLFLQVWUXPHQWVZHUHXVHGLQRUGHUWR SUHYHQWFRQᚐLFWVEHWZHHQGHYLFHV7KHGLᚎHUHQWVXUJLFDOVWHSVZHUHWKHVDPHDV WKHVWDQGDUGODSDURVFRSLFWHFKQLTXH7KHDGUHQDOYHLQZDVGLVVHFWHGDQGFOLSSHG EHIRUHSHUIRUPLQJWKHDGUHQDOHFWRP\ Results: 7KHRSHUDWLYHWLPHZDV PLQXWHVDQGWKHEORRGORVVZDVXQVLJQLᚏFDQW 7KHSRVWRSHUDWLYHFRXUVHZDVXQHYHQWIXODQGWKHSDWLHQWZDVGLVFKDUJHGRQGD\ 3DWKRORJLFH[DPLQDWLRQRIWKHVSHFLPHQUHSRUWHGDFRUWLFRDGUHQDODGHQRPDZLWK QHJDWLYHVXUJLFDOPDUJLQV$WZHHNVIROORZXSWKHUHZDVDOPRVWQRYLVXDOVFDU Conclusions: 7KH VLQJOH SRUW DFFHVV ODSDURVFRSLF DGUHQDOHFWRP\ ZDV IHDVLEOH DQG SURYLGHG FRVPHWLF DGYDQWDJHV +RZHYHU WKH RSHUDWLQJ WLPH ZDV VOLJKWO\ LQFUHDVHGFRPSDULQJWRVWDQGDUGPXOWLSRUWVODSDURVFRS\7KHLPSDFWLQSUHYHQWLQJ SRVWRSHUDWLYHSDLQVKRXOGEHSURYHG
V5
NOTES HYBRID TRANSVAGINAL UPPER POLE HEMINEPHRECTOMY
'H$QGUDGH5&DUPRQD25DPLUH]'0HMLD&*LHGHOPDQ& +HUUHUD(&DQHV'$URQ0'HVDL0*LOO,6RWHOR5 1 Institute Medico la Floresta, Dept. of Urology, Caracas, Venezuela, 2Lahey Clinic Medical Centre, Dept. of Urology, Burlington, United States of America, 3 University of Southern California, Dept. of Urology, Los Angeles, United States of America Introduction & Objectives: 'XSOLFDWLRQRIWKHXUHWHUDQGUHQDOSHOYLVLVWKHPRVW FRPPRQ DQRPDO\ RI WKH XSSHU XULQDU\ WUDFW 8SSHU SROH KHPLQHSKUHFWRP\ LV D WUHDWPHQWRSWLRQZKHQGXSOLFDWLRQDQRPDOLHVDUHDVVRFLDWHGZLWKXUHWHUDOHFWRSLD RUXUHWHURFHOHZLWKDQDVVRFLDWHGQRQIXQFWLRQLQJRULQIHFWHGXSSHUSROHPRLHW\ :HGHVFULEHD127(6K\EULGWUDQVYDJLQDOXSSHUSROHKHPLQHSKUHFWRP\LQD \HDUROGZLWKUHFXUUHQWLQIHFWLRQVLQDSRRUO\IXQFWLRQLQJULJKWXSSHUSROHPRLHW\ Material & Methods: 7KHSURFHGXUHZDVSHUIRUPHGZLWKDEDULDWULFWURFDULQWKH YDJLQD DQG D PXOWLFKDQQHO VLQJOHSRUW GHYLFH 7ULSRUW 2O\PSXV 6XUJLFDO LQ WKH XPELOLFXV7KHFRORQZDVPRELOL]HG%RWKXUHWHUVZHUHLGHQWLᚏHG7KHXSSHUSROH XUHWHUZDVWUDFHGWRWKHXSSHUSROH7KHXUHWHUZDVWUDQVHFWHGDQGUHOHDVHGIURP EHKLQGWKHKLODUYDVFXODWXUH9DVFXODUVXSSO\WRWKHXSSHUSROHZDVLGHQWLᚏHGDQG GLYLGHG 8OWUDVRQLF VFDOSHO ZDV XVHG IRU KHPLQHSKUHFWRP\ 7KH VSHFLPHQ ZDV UHWULHYHGWKURXJKWKHYDJLQD Results: 2SHUDWLYHWLPHZDVPLQXWHV%ORRGORVVZDVFF$IWHURQHZHHN SDWLHQWGHYHORSHGXULQRPDDWWKHVXUJLFDOVLWHDQGZDVUHH[SORUHGODSDURVFRSLFDOO\ 7KHFXWHGJHRIWKHKHPLQHSKUHFWRP\GHIHFWZDVIXOJXUDWHGDQGDGUDLQSODFHG 7KHSDWLHQWUHFRYHUHGXQHYHQWIXOO\IROORZLQJUHH[SORUDWLRQ Conclusions: +\EULG 127(6 WUDQVYDJLQDO KHPLQHSKURXUHWHUHFWRP\ LV IHDVLEOH +DYLQJ ERWK WKH WUDQVYDJLQDO SRUW DQG XPELOLFDO SRUW UHVWRUHV PXFK QHHGHG WULDQJXODWLRQZKLOHVWLOODFKLHLYLQJDYLUWXDOO\VFDUIUHHUHVXOW7KHK\EULGDSSURDFK VHUYHVDVDVDIHVWHSSLQJVWRQHWRZDUGVSXUH127(6SURFHGXUHV
V6
LEFT LESS PARTIAL NEPHRECTOMY WITHOUT ISCHEMIA: FIRST EXPERIENCE
*LGDUR*6&LQGROR&/6FKLSV6/ 1 University G.D’Annunzio, Dept. of Surgical Science, Chieti, Italy, 2S.pio Hospital, Dept. of Urology, Vasto, Italy Introduction & Objectives: 7KH ODSDURVFRSLF SDUWLDO QHSKUHFWRP\ ZLWK D VLQJOH SRUWLVRQHRIWKHELJJHVWDGYDQFHPHQWVLQWKHᚏHOGRIWKLUGJHQHUDWLRQODSDURVFRSLF VXUJHU\ /DSDUR (QGRVFRSLF 6LQJOH 6LWH 6XUJHU\ /(66 8S WR GD\ KDYH EHHQ GHVFULEHGRQO\YHU\IHZRSHUDWLRQVSHUIRUPHGE\OHDGLQJVXUJHRQVLQODSDURVFRS\ +HUH ZH UHSRUW WKH ᚏUVW RSHUDWLRQ SHUIRUPHG LQ ,WDO\ IRU ODSDURVFRSLF SDUWLDO QHSKUHFWRP\ ZLWKRXW LVFKHPLD SHUIRUPHG ZLWK PXOWLFKDQQHO WURFDU 53RUW RU 7ULSRUW Material & Methods: 7KH YLGHR GHVFULEHV WKH FDVH RI D \HDUV ROG SDWLHQW VXᚎHULQJIURPXSSHUSROHUHQDOOHVLRQRIFPLQPD[LPXPGLDPHWHUVXVSLFLRQ IRUDQJLRP\ROLSRPDLQFUHDVHGLQVL]HRYHUWKHSDVWWZR\HDUV7KURXJKDFP OHIWSDUDUHFWDOLQFLVLRQRIDPXOWLFKDQQHO 53RUW WURFDUZDVSODFHGIROORZLQJWKH PDQXIDFWXUHUಬVLQVWUXFWLRQVPPrRSWLFDQGWZRPPLQVWUXPHQWVZHUHXVHG (QGRJUDVS5RWLFXODWRUDQG/LJDVXUH$GYDQFH 7KHUHQDOYHVVHOVZHUHSUHSDUHG DQG H[SRVHG WKHQ ZLWKRXW LVFKHPLD WKH WXPRXU ZDV UHVHFWHG ZLWK /LJDVXUH $GYDQFH 7KH WXPRXU KDV EHHQ H[WUDFWHG WKURXJK PP ODSDURVFRSLF EDJ +DHPRVWDVLV ZDV VHFXUHG ZLWK ELSRODU FDXWHU\ )ORVHDO DQG 7DERWDPS ZLWK QR VWLWFKRQWKHFROOHFWRUV\VWHPRUWKHNLGQH\FRUWH[ Results: 7KHLQWHUYHQWLRQZDVFRPSOHWHGVXFFHVVIXOO\ZLWKWKHRSHUDWLQJWLPHRI PLQWKHEORRGORVVZDVPO7KHUHZHUHQRSUHRSHUDWLYHFRPSOLFDWLRQVWKH SDWLHQWZDVGLVFKDUJHLQSRVWRSHUDWLYHGD\+LVWRORJLFDOH[DPLQDWLRQFRQᚏUPHG WKHEHQLJQQDWXUHRIWKHOHVLRQVXUJLFDOPDUJLQVZHUHQHJDWLYH Conclusions: 7KLVYLGHRGHPRQVWUDWHVWKHIHDVLELOLW\RIPXOWLWURFDUODSDURVFRSLF SURFHGXUHLQDYHU\FRPSOH[LVVXH,WUHPDLQVWRGHPRQVWUDWHWKHDGYDQWDJHVLQ FRVPHWLFDQGRQFRORJLFDORXWFRPHVLQEURDGHUVHULHV
V7
LESS TRANSUMBILICAL RADICAL NEPHRECTOMY
$OFDUD]$3HUL/0XVTXHUD00ROLQD$5LEDO0- Hospital Clinic, Dept. of Urology, Barcelona, Spain Introduction & Objectives: :H SUHVHQW RXU LQLWLDO H[SHULHQFH WUDQVXPELOLFDO ODSDURVFRSLFVLQJOHVLWHVXUJHU\ /(66 UDGLFDOQHSKUHFWRP\ Material & Methods: 7KLV LV FDVH RI DQ \HDU ROG ZRPDQ ZLWK DQ LQFLGHQWDO FPOHIWUHQDOWXPRXU1RFOLQLFDOKLVWRU\RILQWHUHVWRWKHUWKDQPRUELGREHVLW\ D %0, RI 2Q SK\VLFDO H[DPLQDWLRQ D UHGXFWLEOH XPELOLFDO KHUQLD ZDV QRWLFHG )RU WKLV UHDVRQ D WUDQVXPELOLFDO /(66 DSSURDFK ZDV GHFLGHG ZLWK SRVWHULRU KHUQLDUHSDLU7KHSDWLHQWZDVSODFHGLQDULJKWODWHUDOGHFXELWXV$FPLQFLVLRQ
Eur Urol Suppl 2010;9(2):336
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esults: ,QWKLVFDVHVXUJLFDOWLPHZDVRIPLQXWHVEORRGORVVFFDQGWKH KRVSLWDOOHQJWKRIVWD\GD\V1RSRVWRSHUDWLYHFRPSOLFDWLRQRFFXUUHGDQGDIWHU 7KH RSHUDWLYH WLPH ZDV PLQXWHV ZLWK DQ HVWLPDWHG EORRG ORVV RI FF 1R LQWUDRUSRVWRSHUDWLYHFRPSOLFDWLRQRFFXUUHG7KHᚏQDOSDWKRORJ\UHSRUWGHVFULEHG DUHQDOFHOOFDUFLQRPDFPORQJVWDJH37%)XKUPDQZLWKQHJDWLYHPDUJLQV $IWHUPRQWKVRIIROORZXSWKHSDWLHQWLVDV\PSWRPDWLFDQGQRKHUQLDUHFXUUHQFH KDVEHHQQRWLFH Conclusions: 7UDQVXPELOLFDO ODSDURVFRSLF VLQJOHVLWH VXUJHU\ /(66 UDGLFDO QHSKUHFWRP\LVDIHDVLEOHDQGVDYHSURFHGXUHWKDWSURYLGHJRRGFRVPHWLFVUHVXOWV DQGTXLFNUHFRYHU\
Video Session 2 LESS AND ROBOTICS IN ADRENAL AND PROSTATIC SURGERY Saturday, 17 April, 16.00-17.30, Amsterdam Room
V8
LESS ADRENALECTOMY
*LGDUR6&LQGROR/6FKLSV/1HUL) 1 University G.D’Annunzio, Dept. of Surgical Science, Chieti, Italy, 2Urology Unit, Dept. of Surgery, Vasto, Italy Introduction & Objectives: /DSDURHQGRVFRSLFVLQJOHVLWHVXUJHU\ /(66 LVRQH RIWKHPRVWLQWHUHVWLQJVXUJLFDODGYDQFHV:HSHUIRUPHG/(66DGUHQDOHFWRP\LQ WKUHHSDWLHQWVWRDVVHVVIHDVLELOLW\VDIHW\DQGSHULRSHUDWLYHRXWFRPHV Material & Methods: 7KUHHSDWLHQWVZLWKQRQIXQFWLRQDODGUHQDOPDVVHVXQGHUZHQW 7UL3RUW70DGUHQDOHFWRP\'HPRJUDSKLFVSHULRSHUDWLYHDQGSDWKRORJLFDOUHFRUGV ZHUH FROOHFWHG WRJHWKHU ZLWK SRVWRSHUDWLYH GDWD 7UL3RUW70 ZHUH XVHG WKURXJK D FP VXEFRVWDO LQFLVLRQ ZLWK PP rRSWLF DQG WZR PP LQVWUXPHQWV 7KH VSHFLPHQVZHUHH[WUDFWHGYLDDPPEDJLQVWHDGRIWKHRSWLF Results: 7UL3RUW70 DGUHQDOHFWRP\ ZDV VXFFHVVIXOO\ FRPSOHWHG LQ DOO FDVHV 7KHPHDQRSHUDWLYHWLPHZDVPLQ PHDQEORRGORVVPO 1RSHULRSHUDWLYH FRPSOLFDWLRQVZHUHUHFRUGHG3DWKRORJ\H[DPLQDWLRQFRQᚏUPHGDGHQRPDOXQJ FDQFHUPHWDVWDVLVDQGP\HOROLSRPD Conclusions: /(66DGUHQDOHFWRP\LVIHDVLEOHVDIHZLWKIDYRXUDEOHSHULRSHUDWLYH DQG VKRUWWHUP RXWFRPHV ,W LV WHFKQLFDOO\ PRUH FKDOOHQJLQJ WKDQ VWDQGDUG ODSDURVFRS\DQGUHTXLUHVDGYDQFHGVXUJLFDOVNLOOV3URVSHFWLYHVWXGLHVDUHQHHGHG IRUIXUWKHUFRQFOXVLRQV
V9
LAPAROSCOPIC SINGLE PORT ADRENALECTOMY
0DVVRXG:,OLHVFX%)HQQRXUL0'XPRQFHDX2&HGGDKD0 %DXPHUW+ 1 Bicêtre Hospital, Dept. of Urology, Le Kremlin-Bicêtre, France, 2Paris SaintJoseph Hospital Trust, Dept. of Urology, Paris, France, 3Paris Saint-Joseph Hospital Trust, Dept. of Anaesthesiology, Paris, France Introduction & Objectives: 6LQJOH SRUW DFFHVV WUDQVXPELOLFDO ODSDURVFRS\ KDV EHHQ UHFHQWO\ DGYRFDWHG IRU PDQ\ XURORJLFDO SURFHGXUHV 7KLV ᚏOP VKRZHG WKH DSSOLFDWLRQRIWKLVWHFKQLTXHGXULQJDODSDURVFRSLFDGUHQDOHFWRP\ Material & Methods: :HSUHVHQWWKHFDVHRID\HDUROGZRPDQZKRXQGHUZHQW ODSDURVFRSLFDGUHQDOHFWRP\IRU&RKQಬVDGHQRPD7KH6LQJOHSRUWDFFHVVWHFKQLTXH ZDVSURSRVHGIRUFRVPHWLFUHDVRQV$VLQJOHSHULXPELOLFDOLQFLVLRQZDVSHUIRUPHG IRUWKHLPSODQWDWLRQXVLQJRSHQODSDURVFRS\RIDPXOWLFKDQQHOSRUWGHYLFH 'LDEROR VKDSH 7KLV SRUW DOORZHG WKH LQVHUWLRQ RI D PP RSWLF OHQV DQG WZR DGGLWLRQDO GHYLFHVRIPPWRR$UWLFXODWLQJODSDURVFRSLFLQVWUXPHQWVZHUHXVHGLQRUGHUWR SUHYHQWFRQᚐLFWVEHWZHHQGHYLFHV7KHGLᚎHUHQWVXUJLFDOVWHSVZHUHWKHVDPHDV WKHVWDQGDUGODSDURVFRSLFWHFKQLTXH7KHDGUHQDOYHLQZDVGLVVHFWHGDQGFOLSSHG EHIRUHSHUIRUPLQJWKHDGUHQDOHFWRP\ Results: 7KHRSHUDWLYHWLPHZDV PLQXWHVDQGWKHEORRGORVVZDVXQVLJQLᚏFDQW 7KHSRVWRSHUDWLYHFRXUVHZDVXQHYHQWIXODQGWKHSDWLHQWZDVGLVFKDUJHGRQGD\ 3DWKRORJLFH[DPLQDWLRQRIWKHVSHFLPHQUHSRUWHGDFRUWLFRDGUHQDODGHQRPDZLWK QHJDWLYHVXUJLFDOPDUJLQV$WZHHNVIROORZXSWKHUHZDVDOPRVWQRYLVXDOVFDU Conclusions: 7KH VLQJOH SRUW DFFHVV ODSDURVFRSLF DGUHQDOHFWRP\ ZDV IHDVLEOH DQG SURYLGHG FRVPHWLF DGYDQWDJHV +RZHYHU WKH RSHUDWLQJ WLPH ZDV VOLJKWO\ LQFUHDVHGFRPSDULQJWRVWDQGDUGPXOWLSRUWVODSDURVFRS\7KHLPSDFWLQSUHYHQWLQJ SRVWRSHUDWLYHSDLQVKRXOGEHSURYHG