Laparoendoscopic single-site surgeries: A multicenter experience of 469 cases in Japan

Fuminori Sato, Ken Nakagawa, Akihiro Kawauchi, Akio Matsubara, Takatsugu Okegawa, Tomonori Habuchi, Koji Yoshimura, Akio Hoshi, Hidefumi Kinoshita, Akira Miyajima, Yasuyuki Naitoh, Shogo Inoue, Naoshi Itaya, Shintaro Narita, Kazuya Hanai, Kazutoshi Okubo, Masaaki Yanishi, Tadashi Matsuda, Toshiro Terachi, Hiromitsu Mimata

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Objective: To report on a multi-institutional series of non-robotic urological laparoendoscopic single-site surgery in Japan. Methods: Consecutive cases of laparoendoscopic single-site surgery carried out between February 2009 and December 2012 at nine academic institutions were included. We examined the surgical outcomes, including conversion and complications rates. Results: Four hundred and sixty-nine cases were included in the analysis. The most common procedure was adrenalectomy (n = 177) and the second most common procedure was radical nephrectomy (n = 143). The procedures also included nephroureterectomy (n = 40), living donor nephrectomy (n = 40), pyeloplasty (n = 30), urachal remnant excision (n = 9), simple nephrectomy (n = 7), radical prostatectomy (n = 6) and others (n = 17). The access sites included umbilicus (n = 248, 53%) and other sites (n = 221, 47%). A transperitoneal approach was used in 385 cases (82%), and retroperitoneal approach in 84 cases (18%). The median operation time of all procedures was 198 min. Conversion to reduced port surgery, conventional laparoscopy, or open surgery was noted in 27 cases (5.8%), 12 cases (2.6%), and two cases (0.4%), respectively, with an overall conversion rate of 8.7%. Intraoperative complications occurred in 10 cases (2.1%). Post-operative complications were noted in 29 cases (6.2%), including five major complications (1.1%). No mortality was recorded in this series. Conclusions: Non-robotic laparoendoscopic single-site surgery is technically feasible and safe for various urologic diseases in Japan. Furthermore, urological laparoendoscopic single-site surgery is a promising minimally invasive surgical option that is feasible for experienced urological surgeons in intermediate-volume centers as well as high-volume centers.

Original languageEnglish
Pages (from-to)69-74
Number of pages6
JournalInternational Journal of Urology
Volume24
Issue number1
DOIs
Publication statusPublished - 2017 Jan 1

Fingerprint

Japan
Nephrectomy
Urologic Diseases
Umbilicus
Living Donors
Adrenalectomy
Intraoperative Complications
Prostatectomy
Laparoscopy
Mortality

Keywords

  • Japan
  • laparoendoscopic single-site surgery
  • multi-institutional
  • urology

ASJC Scopus subject areas

  • Urology

Cite this

Sato, F., Nakagawa, K., Kawauchi, A., Matsubara, A., Okegawa, T., Habuchi, T., ... Mimata, H. (2017). Laparoendoscopic single-site surgeries: A multicenter experience of 469 cases in Japan. International Journal of Urology, 24(1), 69-74. https://doi.org/10.1111/iju.13235

Laparoendoscopic single-site surgeries : A multicenter experience of 469 cases in Japan. / Sato, Fuminori; Nakagawa, Ken; Kawauchi, Akihiro; Matsubara, Akio; Okegawa, Takatsugu; Habuchi, Tomonori; Yoshimura, Koji; Hoshi, Akio; Kinoshita, Hidefumi; Miyajima, Akira; Naitoh, Yasuyuki; Inoue, Shogo; Itaya, Naoshi; Narita, Shintaro; Hanai, Kazuya; Okubo, Kazutoshi; Yanishi, Masaaki; Matsuda, Tadashi; Terachi, Toshiro; Mimata, Hiromitsu.

In: International Journal of Urology, Vol. 24, No. 1, 01.01.2017, p. 69-74.

Research output: Contribution to journalArticle

Sato, F, Nakagawa, K, Kawauchi, A, Matsubara, A, Okegawa, T, Habuchi, T, Yoshimura, K, Hoshi, A, Kinoshita, H, Miyajima, A, Naitoh, Y, Inoue, S, Itaya, N, Narita, S, Hanai, K, Okubo, K, Yanishi, M, Matsuda, T, Terachi, T & Mimata, H 2017, 'Laparoendoscopic single-site surgeries: A multicenter experience of 469 cases in Japan', International Journal of Urology, vol. 24, no. 1, pp. 69-74. https://doi.org/10.1111/iju.13235
Sato F, Nakagawa K, Kawauchi A, Matsubara A, Okegawa T, Habuchi T et al. Laparoendoscopic single-site surgeries: A multicenter experience of 469 cases in Japan. International Journal of Urology. 2017 Jan 1;24(1):69-74. https://doi.org/10.1111/iju.13235
Sato, Fuminori ; Nakagawa, Ken ; Kawauchi, Akihiro ; Matsubara, Akio ; Okegawa, Takatsugu ; Habuchi, Tomonori ; Yoshimura, Koji ; Hoshi, Akio ; Kinoshita, Hidefumi ; Miyajima, Akira ; Naitoh, Yasuyuki ; Inoue, Shogo ; Itaya, Naoshi ; Narita, Shintaro ; Hanai, Kazuya ; Okubo, Kazutoshi ; Yanishi, Masaaki ; Matsuda, Tadashi ; Terachi, Toshiro ; Mimata, Hiromitsu. / Laparoendoscopic single-site surgeries : A multicenter experience of 469 cases in Japan. In: International Journal of Urology. 2017 ; Vol. 24, No. 1. pp. 69-74.
@article{23f5cf3d153649e6a76634730997bce4,
title = "Laparoendoscopic single-site surgeries: A multicenter experience of 469 cases in Japan",
abstract = "Objective: To report on a multi-institutional series of non-robotic urological laparoendoscopic single-site surgery in Japan. Methods: Consecutive cases of laparoendoscopic single-site surgery carried out between February 2009 and December 2012 at nine academic institutions were included. We examined the surgical outcomes, including conversion and complications rates. Results: Four hundred and sixty-nine cases were included in the analysis. The most common procedure was adrenalectomy (n = 177) and the second most common procedure was radical nephrectomy (n = 143). The procedures also included nephroureterectomy (n = 40), living donor nephrectomy (n = 40), pyeloplasty (n = 30), urachal remnant excision (n = 9), simple nephrectomy (n = 7), radical prostatectomy (n = 6) and others (n = 17). The access sites included umbilicus (n = 248, 53{\%}) and other sites (n = 221, 47{\%}). A transperitoneal approach was used in 385 cases (82{\%}), and retroperitoneal approach in 84 cases (18{\%}). The median operation time of all procedures was 198 min. Conversion to reduced port surgery, conventional laparoscopy, or open surgery was noted in 27 cases (5.8{\%}), 12 cases (2.6{\%}), and two cases (0.4{\%}), respectively, with an overall conversion rate of 8.7{\%}. Intraoperative complications occurred in 10 cases (2.1{\%}). Post-operative complications were noted in 29 cases (6.2{\%}), including five major complications (1.1{\%}). No mortality was recorded in this series. Conclusions: Non-robotic laparoendoscopic single-site surgery is technically feasible and safe for various urologic diseases in Japan. Furthermore, urological laparoendoscopic single-site surgery is a promising minimally invasive surgical option that is feasible for experienced urological surgeons in intermediate-volume centers as well as high-volume centers.",
keywords = "Japan, laparoendoscopic single-site surgery, multi-institutional, urology",
author = "Fuminori Sato and Ken Nakagawa and Akihiro Kawauchi and Akio Matsubara and Takatsugu Okegawa and Tomonori Habuchi and Koji Yoshimura and Akio Hoshi and Hidefumi Kinoshita and Akira Miyajima and Yasuyuki Naitoh and Shogo Inoue and Naoshi Itaya and Shintaro Narita and Kazuya Hanai and Kazutoshi Okubo and Masaaki Yanishi and Tadashi Matsuda and Toshiro Terachi and Hiromitsu Mimata",
year = "2017",
month = "1",
day = "1",
doi = "10.1111/iju.13235",
language = "English",
volume = "24",
pages = "69--74",
journal = "International Journal of Urology",
issn = "0919-8172",
publisher = "Wiley-Blackwell",
number = "1",

}

TY - JOUR

T1 - Laparoendoscopic single-site surgeries

T2 - A multicenter experience of 469 cases in Japan

AU - Sato, Fuminori

AU - Nakagawa, Ken

AU - Kawauchi, Akihiro

AU - Matsubara, Akio

AU - Okegawa, Takatsugu

AU - Habuchi, Tomonori

AU - Yoshimura, Koji

AU - Hoshi, Akio

AU - Kinoshita, Hidefumi

AU - Miyajima, Akira

AU - Naitoh, Yasuyuki

AU - Inoue, Shogo

AU - Itaya, Naoshi

AU - Narita, Shintaro

AU - Hanai, Kazuya

AU - Okubo, Kazutoshi

AU - Yanishi, Masaaki

AU - Matsuda, Tadashi

AU - Terachi, Toshiro

AU - Mimata, Hiromitsu

PY - 2017/1/1

Y1 - 2017/1/1

N2 - Objective: To report on a multi-institutional series of non-robotic urological laparoendoscopic single-site surgery in Japan. Methods: Consecutive cases of laparoendoscopic single-site surgery carried out between February 2009 and December 2012 at nine academic institutions were included. We examined the surgical outcomes, including conversion and complications rates. Results: Four hundred and sixty-nine cases were included in the analysis. The most common procedure was adrenalectomy (n = 177) and the second most common procedure was radical nephrectomy (n = 143). The procedures also included nephroureterectomy (n = 40), living donor nephrectomy (n = 40), pyeloplasty (n = 30), urachal remnant excision (n = 9), simple nephrectomy (n = 7), radical prostatectomy (n = 6) and others (n = 17). The access sites included umbilicus (n = 248, 53%) and other sites (n = 221, 47%). A transperitoneal approach was used in 385 cases (82%), and retroperitoneal approach in 84 cases (18%). The median operation time of all procedures was 198 min. Conversion to reduced port surgery, conventional laparoscopy, or open surgery was noted in 27 cases (5.8%), 12 cases (2.6%), and two cases (0.4%), respectively, with an overall conversion rate of 8.7%. Intraoperative complications occurred in 10 cases (2.1%). Post-operative complications were noted in 29 cases (6.2%), including five major complications (1.1%). No mortality was recorded in this series. Conclusions: Non-robotic laparoendoscopic single-site surgery is technically feasible and safe for various urologic diseases in Japan. Furthermore, urological laparoendoscopic single-site surgery is a promising minimally invasive surgical option that is feasible for experienced urological surgeons in intermediate-volume centers as well as high-volume centers.

AB - Objective: To report on a multi-institutional series of non-robotic urological laparoendoscopic single-site surgery in Japan. Methods: Consecutive cases of laparoendoscopic single-site surgery carried out between February 2009 and December 2012 at nine academic institutions were included. We examined the surgical outcomes, including conversion and complications rates. Results: Four hundred and sixty-nine cases were included in the analysis. The most common procedure was adrenalectomy (n = 177) and the second most common procedure was radical nephrectomy (n = 143). The procedures also included nephroureterectomy (n = 40), living donor nephrectomy (n = 40), pyeloplasty (n = 30), urachal remnant excision (n = 9), simple nephrectomy (n = 7), radical prostatectomy (n = 6) and others (n = 17). The access sites included umbilicus (n = 248, 53%) and other sites (n = 221, 47%). A transperitoneal approach was used in 385 cases (82%), and retroperitoneal approach in 84 cases (18%). The median operation time of all procedures was 198 min. Conversion to reduced port surgery, conventional laparoscopy, or open surgery was noted in 27 cases (5.8%), 12 cases (2.6%), and two cases (0.4%), respectively, with an overall conversion rate of 8.7%. Intraoperative complications occurred in 10 cases (2.1%). Post-operative complications were noted in 29 cases (6.2%), including five major complications (1.1%). No mortality was recorded in this series. Conclusions: Non-robotic laparoendoscopic single-site surgery is technically feasible and safe for various urologic diseases in Japan. Furthermore, urological laparoendoscopic single-site surgery is a promising minimally invasive surgical option that is feasible for experienced urological surgeons in intermediate-volume centers as well as high-volume centers.

KW - Japan

KW - laparoendoscopic single-site surgery

KW - multi-institutional

KW - urology

UR - http://www.scopus.com/inward/record.url?scp=84994876253&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84994876253&partnerID=8YFLogxK

U2 - 10.1111/iju.13235

DO - 10.1111/iju.13235

M3 - Article

AN - SCOPUS:84994876253

VL - 24

SP - 69

EP - 74

JO - International Journal of Urology

JF - International Journal of Urology

SN - 0919-8172

IS - 1

ER -