Retroperitoneal laparoendoscopic single-site approach for renal cyst decortication – first experience and a review of literature

Authors

  • Nicolae Crisan
  • Iulia Andras
  • Teodora Telecan
  • Andreea Szabo
  • Andrei Popa
  • Radu-Tudor Coman
  • Paul Medan
  • Ioan Coman

DOI:

https://doi.org/10.15386/cjmed-953

Keywords:

laparoendoscopic single-site, retroperitoneal approach, upper urinary tract, renal cyst

Abstract

Laparoendoscopic single-site (LESS) approach has been successfully employed for a number of urologic procedures. The retroperitoneal approach further limits the working space and instrument movement during LESS surgery, but has the advantage of a faster post-operative recovery and lower complications rate. We present our first experience using retroperitoneal LESS approach for a renal cyst decortication in a 40-year-old patient. The operative time was 40 minutes, the blood loss was minimal and we did not encounter significant conflicts between the instruments. The patient was discharged 2 days after the procedure and returned to full normal activity within one week. We consider that the retroperitoneal LESS approach is feasible for upper tract urologic surgery. Pre-bent instruments might further improve surgical gestures and extend the indications for more complex procedures. Nevertheless, the advent of reusable devices is expected to increase the cost-effectiveness of LESS and expand its use.

Author Biographies

Nicolae Crisan, Iuliu Hatieganu University of Medicine and Pharmacy and Clinical Municipal Hospital Cluj-Napoca

Urology Department

Iulia Andras, Iuliu Hatieganu University of Medicine and Pharmacy and Clinical Municipal Hospital Cluj-Napoca

Urology

Teodora Telecan, Iuliu Hatieganu University of Medicine and Pharmacy

Urology

Andreea Szabo, Clinical Municipal Hospital Cluj-Napoca

Urology

Andrei Popa, Clinical Municipal Hospital Cluj-Napoca

Urology

Radu-Tudor Coman, Iuliu Hatieganu University of Medicine and Pharmacy

Epidemiology

Paul Medan, Clinical Municipal Hospital Cluj-Napoca

Urology

Ioan Coman, Iuliu Hatieganu University of Medicine and Pharmacy and Clinical Municipal Hospital Cluj-Napoca

Urology

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Published

2018-07-24

How to Cite

1.
Crisan N, Andras I, Telecan T, Szabo A, Popa A, Coman R-T, Medan P, Coman I. Retroperitoneal laparoendoscopic single-site approach for renal cyst decortication – first experience and a review of literature. Med Pharm Rep [Internet]. 2018 Jul. 24 [cited 2025 Oct. 5];91(3):346-50. Available from: https://medpharmareports.com/index.php/mpr/article/view/953

Issue

Section

Case Report