2011 Volume 24 Issue 1 Pages 83-87
Objective:To describe our initial experience with retroperitoneoscopic nephrectomy utilizing a GelPort as the main access platform together with a muscle-splitting approach.
Patients and methods:Between March and August 2009, we performed 8 retroperitoneoscopic nephrectomies utilizing a GelPort. A transverse incision was made along the skin fold, and the flank abdominal muscles were split without cutting. We used standard straight instruments throughout the dissection process.
Results:The median operative duration and median estimated blood loss were 215 min(range 140-380 min)and 65 ml(range 20-280 ml), respectively. All cases were completed without conversion or serious complications. Complete convalescence took a mean of 24.8 +/-6.5 days. Postoperative follow-up at 1 month showed good cosmetic appearance of wounds as well as high patient satisfaction.
Conclusion:Retroperitoneoscopic nephrectomy utilizing a GelPort together with a muscle-splitting approach is technically feasible. The required convalescence period is short, and excellent cosmesis is achievable.