Single-port extraperitoneal transvesical adenomectomy: Initial operative experience
Date
2010
Authors
Koç, Gökhan
Journal Title
Journal ISSN
Volume Title
Publisher
Karger
Abstract
Background: Laparoscopic extraperitoneal adenomectomy is occasionally performed for symptomatic large-volume benign prostatic hyperplasia. Two different multichannel ports were used during operations. We describe the technique of single-port extraperitoneal transvesical adenomectomy and present the initial operative experience. Methods: Three patients in whom an open adenomectomy was indicated underwent single-port extraperitoneal transvesical adenomectomy. Following preparation of the extraperitoneal space via an umbilical incision, a multichannel port was inserted. A transverse cystotomy adjacent to the prostatovesical junction, incision of mucosa overlying the adenoma, subcapsular plane development, prostatic adenomectomy and cystotomy repair were performed as the standard steps of the laparoscopic procedure. Results: All cases were completed without conversion to standard laparoscopy. Mean operative time was 105 min. Mean blood loss was 190 ml. Hospital stay was 4 days and catheter duration was 6 days for all patients. No intraoperative or postoperative complication occurred. Conclusions: Single-port extraperitoneal trans-vesical adenomectomy for large benign prostate hyperplasia is feasible with excellent cosmetic results and minimal morbidity.
Description
Keywords
Benign prostatic hyperplasia, Laparoscopy, Single port, Benign prostatic hyperplasia, Holmium laser enucleatuon, Open simple prostatectomy, Photoselective vaporization, Laparoscopic prostatectomy, Surgery, Millin, ML, Urology & nephrology
Citation
Oktay, B. vd. (2010). "Single-port extraperitoneal transvesical adenomectomy: Initial operative experience". Urologia Internationalis, 85(2), 131-134.