Initial experience with laparoendoscopic single-site simple nephrectomy using the TransEnterix SPIDER surgical system: Assessing feasibility and safety

Raymond J. Leveillee, Scott M. Castle, Michael A. Gorin, Nelson Salas, Vladislav Gorbatiy

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Purpose: The goal of this report is to describe our initial clinical experience performing a simple nephrectomy with the SPIDER (Single Port Instrument Delivery Extended Reach) laparoendoscopic single-site (LESS) surgical system. Patient and Methods: One patient with a nonfunctioning kidney secondary to a ureteropelvic junction obstruction underwent a simple nephrectomy through a single incision performed using the SPIDER surgical system. We assessed the technical feasibility, efficiency, and perioperative outcomes. Results: The SPIDER-LESS nephrectomy was performed successfully without additional skin incisions for laparoscopic ports, instrument clashing, or open conversion. Total operative time was 210 minutes with blood loss of 50 mL. The patient experienced no intraoperative or postoperative complications. Pathologic evaluation confirmed atrophic renal parenchyma. Conclusions: The SPIDER surgical system LESS nephrectomy is feasible and safe. Future refinements of the technology and prospective studies are needed to further optimize its application in urology.

Original languageEnglish
Pages (from-to)923-925
Number of pages3
JournalJournal of Endourology
Volume25
Issue number6
DOIs
StatePublished - Jun 1 2011

Fingerprint

Nephrectomy
Safety
Kidney
Intraoperative Complications
Urology
Operative Time
Prospective Studies
Technology
Skin

ASJC Scopus subject areas

  • Urology

Cite this

Initial experience with laparoendoscopic single-site simple nephrectomy using the TransEnterix SPIDER surgical system : Assessing feasibility and safety. / Leveillee, Raymond J.; Castle, Scott M.; Gorin, Michael A.; Salas, Nelson; Gorbatiy, Vladislav.

In: Journal of Endourology, Vol. 25, No. 6, 01.06.2011, p. 923-925.

Research output: Contribution to journalArticle

Leveillee, Raymond J. ; Castle, Scott M. ; Gorin, Michael A. ; Salas, Nelson ; Gorbatiy, Vladislav. / Initial experience with laparoendoscopic single-site simple nephrectomy using the TransEnterix SPIDER surgical system : Assessing feasibility and safety. In: Journal of Endourology. 2011 ; Vol. 25, No. 6. pp. 923-925.
@article{6fb779524cce43d18d14dd9dd7fbb6cf,
title = "Initial experience with laparoendoscopic single-site simple nephrectomy using the TransEnterix SPIDER surgical system: Assessing feasibility and safety",
abstract = "Purpose: The goal of this report is to describe our initial clinical experience performing a simple nephrectomy with the SPIDER (Single Port Instrument Delivery Extended Reach) laparoendoscopic single-site (LESS) surgical system. Patient and Methods: One patient with a nonfunctioning kidney secondary to a ureteropelvic junction obstruction underwent a simple nephrectomy through a single incision performed using the SPIDER surgical system. We assessed the technical feasibility, efficiency, and perioperative outcomes. Results: The SPIDER-LESS nephrectomy was performed successfully without additional skin incisions for laparoscopic ports, instrument clashing, or open conversion. Total operative time was 210 minutes with blood loss of 50 mL. The patient experienced no intraoperative or postoperative complications. Pathologic evaluation confirmed atrophic renal parenchyma. Conclusions: The SPIDER surgical system LESS nephrectomy is feasible and safe. Future refinements of the technology and prospective studies are needed to further optimize its application in urology.",
author = "Leveillee, {Raymond J.} and Castle, {Scott M.} and Gorin, {Michael A.} and Nelson Salas and Vladislav Gorbatiy",
year = "2011",
month = "6",
day = "1",
doi = "10.1089/end.2010.0730",
language = "English",
volume = "25",
pages = "923--925",
journal = "Journal of Endourology",
issn = "0892-7790",
publisher = "Mary Ann Liebert Inc.",
number = "6",

}

TY - JOUR

T1 - Initial experience with laparoendoscopic single-site simple nephrectomy using the TransEnterix SPIDER surgical system

T2 - Assessing feasibility and safety

AU - Leveillee, Raymond J.

AU - Castle, Scott M.

AU - Gorin, Michael A.

AU - Salas, Nelson

AU - Gorbatiy, Vladislav

PY - 2011/6/1

Y1 - 2011/6/1

N2 - Purpose: The goal of this report is to describe our initial clinical experience performing a simple nephrectomy with the SPIDER (Single Port Instrument Delivery Extended Reach) laparoendoscopic single-site (LESS) surgical system. Patient and Methods: One patient with a nonfunctioning kidney secondary to a ureteropelvic junction obstruction underwent a simple nephrectomy through a single incision performed using the SPIDER surgical system. We assessed the technical feasibility, efficiency, and perioperative outcomes. Results: The SPIDER-LESS nephrectomy was performed successfully without additional skin incisions for laparoscopic ports, instrument clashing, or open conversion. Total operative time was 210 minutes with blood loss of 50 mL. The patient experienced no intraoperative or postoperative complications. Pathologic evaluation confirmed atrophic renal parenchyma. Conclusions: The SPIDER surgical system LESS nephrectomy is feasible and safe. Future refinements of the technology and prospective studies are needed to further optimize its application in urology.

AB - Purpose: The goal of this report is to describe our initial clinical experience performing a simple nephrectomy with the SPIDER (Single Port Instrument Delivery Extended Reach) laparoendoscopic single-site (LESS) surgical system. Patient and Methods: One patient with a nonfunctioning kidney secondary to a ureteropelvic junction obstruction underwent a simple nephrectomy through a single incision performed using the SPIDER surgical system. We assessed the technical feasibility, efficiency, and perioperative outcomes. Results: The SPIDER-LESS nephrectomy was performed successfully without additional skin incisions for laparoscopic ports, instrument clashing, or open conversion. Total operative time was 210 minutes with blood loss of 50 mL. The patient experienced no intraoperative or postoperative complications. Pathologic evaluation confirmed atrophic renal parenchyma. Conclusions: The SPIDER surgical system LESS nephrectomy is feasible and safe. Future refinements of the technology and prospective studies are needed to further optimize its application in urology.

UR - http://www.scopus.com/inward/record.url?scp=79959296185&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79959296185&partnerID=8YFLogxK

U2 - 10.1089/end.2010.0730

DO - 10.1089/end.2010.0730

M3 - Article

C2 - 21568757

AN - SCOPUS:79959296185

VL - 25

SP - 923

EP - 925

JO - Journal of Endourology

JF - Journal of Endourology

SN - 0892-7790

IS - 6

ER -