1997 Volume 88 Issue 9 Pages 801-806
(Background) We tried a new procedure of gas-less laparoscopy assisted radical nephrectomy.
(Methods) Prior to insertion of laparoscope, pararectal incision approximately 7 cm in length was made to enter into the intraabdominal cavity. A 12mm trocar was placed just below the umbilicus and a flexible electroscope was inserted through it. A 10cm size disposable fan for lifting up the abdominal wall was indwelled through the under space of trocar port. After appropriately lifting up the abdominal wall, a 10mm trocar for working channel was placed at mid-axillar line. Under laparoscopic and trans-laparotomic views, radical nephrectomy was performed using the combined techinique of laparoscopic and open surgery.
(Results) Seven patients have been successfully treated with this procedure. The mean operating time of this procedure was significantly shorter than that of totally laparoscopic nephrectomy. The recovery time from the operation was as short as usual laparoscopic nephrectomy.
(Conclusion) We thought that this procedure could open a new scope of laparoscopic surgery.
