Is There an Ideal Port Position for Laparoscopic Urological Procedures?
Bashir Yunusa, JS Chowhan
Citation Information :
Yunusa B, Chowhan J. Is There an Ideal Port Position for Laparoscopic Urological Procedures?. World J Lap Surg 2014; 7 (2):74-87.
Copyright © 2014; The Author(s).
Reports have suggested increased use of laparoscopy in the treatment of urological diseases and equally wrong port positions as the commonest cause of struggling during surgeries and increased in complications and operative time.
We aimed to find out the ideal positions for laparoscopic ports to be placed during urological procedures.
We performed different laparoscopic tasks in both the upper and lower urinary tract regions, at different ports position making different manipulation angles and operative time recorded. The procedures were performed on both dry and wet laboratory and on human during laparoscopic donor nephrectomies.
The average operative time of those ports whose position approximate to manipulation angle of 60° was shorter and more comfortable to the surgeons.
There is no ideal positions for port placement in urological procedures based on anatomical landmarks, but rather any position that approximate its manipulation angle to as close to 60° as possible.
How to cite this article
Yunusa B, Mishra RK, Chowhan JS. Is There an Ideal Port Position for Laparoscopic Urological Procedures? World J Lap Surg 2014;7(2):74-87.
Ergonomics in laparoscopic surgery. J Min Access Surg 2010;6:31-36.
Analysis of laparoscopic port site complications: a descriptive study. J Min Access surg 2013;9:59-64.
Instrumentation for natural orifice transluminal endoscopic surgery and laparoendoscopic singlesite surgery. Ind J urol 2010;26:385-388.
Laparoscopic nephrectomy for benign non-functioning kidneys. J Min Access Surg 2005;149-154.
Concomitant laparoscopic urological procedures: does it contribute to morbidity? J Min Access Surg 2009;5:67-71.
Cyberciti, DLF Phase II, NCR Delhi, Gurgaon, 122 002, India. Port position in Laparoscopy.
Laparoscopic donor nephrectomy. J Min Access Surg 2005;155-164.
Basic urologic laparoscopy: a standardized guideline for training programs. Am Urol Assoc Educ Res 2005;20-25.
Synchronous laparoscopic radical nephrectomy left and contralateral right hemicolectomy during the same endoscopic procedure. J Laparoendosc Adv Surg Tech 2004.
Laparoscopic radical nephrectomy in a pelvic ectopic kidney: keys to success. JSLS 2010;14:126-129.
Laparoscopic radical nephrectomy versus open radical nephrectomy in T1-T3 renal tumours: an outcome analysis. Ind J Urol 2008;24:39-43.
Upper tract urologic laparoendoscopic single site surgery. Ind J Urol 2012;28:60-64.
Laparoendoscopic single site radical nephrectomy with renal vein thrombectomy: initial report. BMC Urology 2010;8:10.
Single access laparoscopic nephrectomy. Ind J Urol 2008;24:457-460.
Instrumentation for natural orifice transluminal endoscopic surgery and laparoendoscopic single site surgery. Ind J Urol 2010;26:385-388.
Navigating the difficult robotic assisted pyeloplasty. ISRN Urol 2012;2:34.
Laparoscopic transperitoneal pyelo-pyelostomy and ureteroureterostomy of retrocaval ureter: report of two cases and review of the literature. J Min Access Surg 2010;6:53-55.
Best BS, Cadeddu JA. Laparoendoscopic single-site (LESS) pyeloplasty for horseshoe ureteropelvic junction obstruction. JSLS 2012;16:151-154.
Laparoscopic versus open pyeloplasty: comparison of the two surgical approaches—a single centre experience of three years. J Min Access Surg 2008;3:76-79.
Laparoscopic adrenalectomy: surgical techniques. Ind J Urol 2008;24:583-589.
Laparoscopic adrenalectomy: a single center experience. J Min Access Surg 2010;6:100-105.
Laparoscopic adrenalectomy: gaining experience by graded approach. J Min Access Surg 2006;2:59-66.
Laparoscopic single site adrenalectomy: initial results of cosmetic satisfaction and the potential for postoperative pain reduction. BMC Urology 2013;13:21.
Transperitoneal laparoscopic approach for retrocaval ureter. J Min Access Surg 2006;2:81-82.
Laparoscopic management of pediatric renal and ureteric stone. JP Urol 2013;9:230-233.
Suprapubic transvesical single-port technique for control of lower end of ureter during laparoscopic nephroureterectomy for upper tract transitional cell carcinoma. Ind J Urol 2011;27:190-195.
Simplifying patient positioning and port placement during robotic assisted laparoscopic prostatectomy. European Urology 2010;57:530-533.
Optimal port placement during laparoscopic radical prostatectomy. Can J Urol 2012;19:6142-6146.
Robotic assisted radical prostatectomy: surgical techniques. Int Braz J Urol 2007;33:803-809.
Pure laparoscopic and robotic-assisted laparoscopic radical prostatectomy in the management of prostate cancer. Cancer control 2007;14:250-257.
Laparoscopic cystectomy with extracorporeal-assisted urinary diversion: experience with 34 patients. European Urology 2007;51:193-198.
Laparoscopic radical cystectomy: initial series and analysis of result. European Urology Suppl 2006;5:956-961.
Laparoscopic cystectomy: evolution of a new technique. EAU series 2005;3:147-155.
Laparoscopic hand assisted radical cystectomy with ileal conduit urinary diversion. J Urol 2002;168:2103-2105.
Management options of varicocele. Ind J Urol 2011;27:65-73.
Two trocar laparoscopic varicocelectomy: approach and outcomes. JSLS 2006;10:151-154.
Laparoscopic surgery for varicocele in subfertile men. European Urology Suppl 2009;8:626-627.
Dye-assisted lymphatic-sparing laparoscopic varicocelectomy. JP Urol 2013;9:33-37.
Varicocelectomy in adolescents: laparoscopic versus open high ligation technique. Afr J Paediatr Surg 2011;8:40-43.
Laparoscopic mitrafanoff appendicovesicostomy: our experience in children. Ind J Urol 2012;28:28-31.
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