Transvesical natural orifice transluminal endoscopic surgery (NOTES) nephrectomy with kidney morcellation: a proof of concept study

Bibliographic Details
Main Author: Lima, Estêvão Augusto Rodrigues de
Publication Date: 2012
Other Authors: Branco, Frederico, Parente, Joana, Autorino, Riccardo, Pinto, Jorge Correia
Format: Article
Language: eng
Source: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
Download full: http://hdl.handle.net/1822/23856
Summary: The authors acknowledge Karl Storz, Richard Wolf and Covidien for their support with equipment.
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spelling Transvesical natural orifice transluminal endoscopic surgery (NOTES) nephrectomy with kidney morcellation: a proof of concept studyEndoscopyKidneyNephrectomyMorcellationtransvesicalScience & TechnologyThe authors acknowledge Karl Storz, Richard Wolf and Covidien for their support with equipment.What's known on the subject? and What does the study add? Until now, the transvaginal approach has been the only method of removing larger specimens from the abdominal cavity using natural orifi ce transluminal endoscopic surgery. There has been no means of extracting larger specimens in men and the means are restricted even in women, particularly in young women. The present study shows that the diffi culty of large specimen retrieval can be overcome, irrespective of the diameter of the chosen port, through natural orifi ces using morcellation.OBJECTIVE To show, in a porcine model, the feasibility of a complete transvesical natural orifi ce transluminal endoscopic surgery (NOTES) nephrectomy with kidney extraction after morcellation through the same port. MATERIALS AND METHODS Transvesical nephrectomy and morcellation were performed in six pigs at Minho University, Braga, Portugal after institutional review board approval. The transvesical port and the cystotomy were created under the guidance of a ureteroscope, while the remaining steps were done under the guidance of an operating telescope. Dissection of the renal vessels and kidney was performed using dissection grasping forceps and a vessel sealing system (LigaSure TM ; Covidien, Mansfi eld, MA, USA) and morcellation was done using a Piranha TM morcellator (Richard Wolf, Knittlingen, Germany). RESULTS There were no complications related to the creation of transvesical access. • The image provided by the telescope was superior to that of the ureteroscope, especially underwater. Morcellation was quick and effective, with the support of a fi xing needle through the abdominal wall, designed to fi x the kidney, after laceration of a bowel loop occurred in the first experiment. It was found that technical improvements are needed to ensure safety of NOTES morcellation. CONCLUSIONS Kidney morcellation after nephrectomy, using a natural orifi ce exclusively, is feasible. • Despite technical limitations, this proof of concept study can be regarded as a potential step towards the application of NOTES in urology.This study was supported by the Science & Technology Foundation (FCT), Portugal – PTDC/SAU-OSM/105578/2008.Wiley-BlackwellUniversidade do MinhoLima, Estêvão Augusto Rodrigues deBranco, FredericoParente, JoanaAutorino, RiccardoPinto, Jorge Correia2012-052012-05-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/1822/23856eng1464-409610.1111/j.1464-410X.2011.10772.x22176894http://onlinelibrary.wiley.com/doi/10.1111/j.1464-410X.2011.10772.x/pdfinfo:eu-repo/semantics/openAccessreponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAP2024-05-11T05:51:57Zoai:repositorium.sdum.uminho.pt:1822/23856Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-28T15:32:47.103109Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse
dc.title.none.fl_str_mv Transvesical natural orifice transluminal endoscopic surgery (NOTES) nephrectomy with kidney morcellation: a proof of concept study
title Transvesical natural orifice transluminal endoscopic surgery (NOTES) nephrectomy with kidney morcellation: a proof of concept study
spellingShingle Transvesical natural orifice transluminal endoscopic surgery (NOTES) nephrectomy with kidney morcellation: a proof of concept study
Lima, Estêvão Augusto Rodrigues de
Endoscopy
Kidney
Nephrectomy
Morcellation
transvesical
Science & Technology
title_short Transvesical natural orifice transluminal endoscopic surgery (NOTES) nephrectomy with kidney morcellation: a proof of concept study
title_full Transvesical natural orifice transluminal endoscopic surgery (NOTES) nephrectomy with kidney morcellation: a proof of concept study
title_fullStr Transvesical natural orifice transluminal endoscopic surgery (NOTES) nephrectomy with kidney morcellation: a proof of concept study
title_full_unstemmed Transvesical natural orifice transluminal endoscopic surgery (NOTES) nephrectomy with kidney morcellation: a proof of concept study
title_sort Transvesical natural orifice transluminal endoscopic surgery (NOTES) nephrectomy with kidney morcellation: a proof of concept study
author Lima, Estêvão Augusto Rodrigues de
author_facet Lima, Estêvão Augusto Rodrigues de
Branco, Frederico
Parente, Joana
Autorino, Riccardo
Pinto, Jorge Correia
author_role author
author2 Branco, Frederico
Parente, Joana
Autorino, Riccardo
Pinto, Jorge Correia
author2_role author
author
author
author
dc.contributor.none.fl_str_mv Universidade do Minho
dc.contributor.author.fl_str_mv Lima, Estêvão Augusto Rodrigues de
Branco, Frederico
Parente, Joana
Autorino, Riccardo
Pinto, Jorge Correia
dc.subject.por.fl_str_mv Endoscopy
Kidney
Nephrectomy
Morcellation
transvesical
Science & Technology
topic Endoscopy
Kidney
Nephrectomy
Morcellation
transvesical
Science & Technology
description The authors acknowledge Karl Storz, Richard Wolf and Covidien for their support with equipment.
publishDate 2012
dc.date.none.fl_str_mv 2012-05
2012-05-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/1822/23856
url http://hdl.handle.net/1822/23856
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 1464-4096
10.1111/j.1464-410X.2011.10772.x
22176894
http://onlinelibrary.wiley.com/doi/10.1111/j.1464-410X.2011.10772.x/pdf
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Wiley-Blackwell
publisher.none.fl_str_mv Wiley-Blackwell
dc.source.none.fl_str_mv reponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron:RCAAP
instname_str FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron_str RCAAP
institution RCAAP
reponame_str Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
collection Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
repository.name.fl_str_mv Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
repository.mail.fl_str_mv info@rcaap.pt
_version_ 1833595383283974144

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