Introduction: To assess the feasibility of single-incision laparoscopic
surgery (SILS) in some urological surgeries.
Material
and Methods: This prospective study was conducted on
40 patients (27 males and 13 females) from January 2010 to
June 2011. Six procedures were done, SILS renal cyst decortication
(n = 10), SILS varicocelectomy (n = 10), SILS orchiopexy
(n = 10), SILS nephrectomy (n = 3), SILS pyelolithtomy
(n = 6) and SILS adrenalectomy (n = 1).
Results: Postoperative
complications included ileus (10%) and fever (10%) in
SILS renal cyst ablation. SILS varicocelectomy had postoperative
sequalae as persistent varicocele (10%) and hydrocele
(10%). SILS orchiopexy was also done with a success
rate 100% in this series. SILS pyelolithotomy was successfully
done in 5 out of 6 patients and only 1 patient was converted
to conventional laparoscopy. In SILS nephrectomy 1 patient
out of 3 was converted to conventional laparoscopy.
Conclusion:
SILS in urology has proven to be safe and feasible in the
hands of experienced laparoscopic surgeons, using specially
designed ports and instruments in selected patients.
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