Laparoscopic nephrectomy with single-portal access Gelpoint®in swines
Meyer, Fernando; Chueiri, Letícia; Radigonda, Maiara; Gouveia, Denise Sbrissia e Silva; Araujo, Thais Tesser de; Maschio, André Gustavo; Rosa, Mateus Eduardo Rugilo.
Acta cir. bras.;
28(11): 778-782, Nov. 2013. ilus, tab
Artigo
em Inglês
| VETINDEX
| ID: vti-9105
Resumo
PURPOSE: To analyze the viability of using Gelpoint® (single-port access) to make partial and total nephrectomy in pigs and to describe the technical difficulties found during these surgical procedures. METHODS: Ten pigs (Landrace specie) with 20kg in average were distributed in two groups. Group A: total right nephrectomy and Group B: partial left nephrectomy. The procedures were performed inside the Surgical Technique Room from Pontifícia Universidade Católica do Parana (PUCPR). RESULTS: In Group A, time to single-port insertion varied from one to two minutes and total time of the procedures were 20.4±8.2 minutes. Bleeding was under than 20 mL in 70% of animals. Time of instrument excision was 20.7±12 seconds and time of hilum dissection was 3.9±2.2 minutes. In Group B, after total contralateral nephrectomy two surgical procedures were not concluded due to bleeding. In this group, time of surgery was 6.8±4.2 minutes. With the exception of the second surgery, the highest blood volume loss was 50 mL. The mean excision time was 22.3 ± 22.3 seconds. CONCLUSION: Total and partial nephrectomy through umbilical single-access using GelPoint® was feasible and safe in pigs.(AU)
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