Korean J Urol.  2009 Jun;50(6):609-612. 10.4111/kju.2009.50.6.609.

Embryonic-Natural Orifice Transluminal Endoscopic Surgery Nephrectomy

• Jeong W
• Jeon HG
• Yu HS
• Kim KH
• Yang SC
• Rha KH
• Han WK

• KMID: 1989795
• DOI: http://doi.org/10.4111/kju.2009.50.6.609

Abstract

We describe our initial experience with embryonic-natural orifice transluminal endoscopic surgery (E-NOTES) nephrectomy in a nonfunctioning kidney. E-NOTES was performed with modified single port access by using a surgical glove and wound retractor. We used several laparoscopic instruments, such as articulating laparoscopic instruments, clips, conventional laparoscopic graspers, and dissectors. The operative time was 80 minutes. There were no intraoperative complications.

Keyword

Laparoscopy; Minimally invasive; Nephrectomy

MeSH Terms

Gloves, Surgical
Intraoperative Complications
Kidney
Laparoscopy
Nephrectomy
Operative Time

Figure

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  Fig. 1 Preoperative ultrasound and computed tomography showing severe hydronephrosis with parenchymal atrophy in the right kidney.

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  Fig. 2 Single-port access with surgical glove and wound retractor (Alexis, Applied medical).

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  Fig. 3 The dissection of the upper pole of the right kidney with articulating and conventional laparoscopic instruments.

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  Fig. 4 Port incision site. Day of operation (A) and postoperative day #7 after the stitches were taken out (B).

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