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KMID : 0358320070480010006
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Korean Journal of Urology
2007 Volume.48 No. 1 p.6 ~ p.11
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The Early Experience of Hand Assisted Laparoscopic Surgery in Nephroureterectomy
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Choi Min-Ho
Jung Han
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Abstract
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Purpose: Recently, the growing interest in minimally invasive surgery and the development of instruments and accompanying techniques have allowed laparoscopic surgery to be performed in a wide range of urological fields. Herein, the procedures and results of 6 cases of hand assisted laparoscopic surgery(HALS) nephroureterectomy are reported.
Materials & Methods: The records of 6 and 5 patients, who had undergone either a laparoscopic HALS nephroureterectomy, with bladder cuff excision, or an open nephroureterectomy, with bladder cuff excision, were reviewed.
Results: The mean operation times were 194(150-210) and 280(250-310) minutes in HALS nephroureterectomy and open nephroureterectomy, respectively. The average pain scales recorded with HALS and classical open surgery were 1.5(max. 2) and 7(max. 8), respectively, on the second post operative day.
Conclusion: HALS allows the operator to be notified with on-the-spot information and to have a feeling of complete control over the procedure, which helps to complete the operation in a shorter time, with the assistance of a tactile impression. Therefore, HALS can be concluded to be a better approach, which is a more acceptable procedure for the novice laparoscopic surgeon.(Korean J Urol 2007;48:6-11)
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KEYWORD
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Nephroureterectomy, Visual analogue pain scale
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