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3D laparoscopic partial nephrectomy in Australia: a pilot study

Mare, A; Haxhimolla, Hodo

Description

Introduction and Objectives: Laparoscopic partial nephrectomy is a technically challenging procedure and important limitations with conventional laparoscopy include spatial orientation and depth perception. Three-dimensional (3D) video display has been introduced with robotic surgery, however the higher initial investment and associated running costs accompanying robotic technology makes it not cost-effective in certain centres. We developed a pilot study to compare the...[Show more]

dc.contributor.authorMare, A
dc.contributor.authorHaxhimolla, Hodo
dc.coverage.spatialCanberra, Australia
dc.date.accessioned2022-06-17T01:06:33Z
dc.date.created24-27 September
dc.identifier.issn1464-4096
dc.identifier.urihttp://hdl.handle.net/1885/267355
dc.description.abstractIntroduction and Objectives: Laparoscopic partial nephrectomy is a technically challenging procedure and important limitations with conventional laparoscopy include spatial orientation and depth perception. Three-dimensional (3D) video display has been introduced with robotic surgery, however the higher initial investment and associated running costs accompanying robotic technology makes it not cost-effective in certain centres. We developed a pilot study to compare the clinical outcomes of 3D laparoscopic partial nephrectomy with conventional twodimensional (2D) laparoscopic partial nephrectomy by a single surgeon in the ACT. The aim of this study was to assess whether 3D nephron-sparing laparoscopic surgery has better intraoperative and oncological outcomes compared to conventional 2D nephron-sparing laparoscopic surgery. Methods: Retrospective review of all consecutive patients who underwent laparoscopic partial nephrectomy since the introduction of a 3D video system at National Capital Private Hospital in 2012 under a single surgeon (HH). Clinical outcomes measured were the length of hospital stay, total operative time, blood transfusion, positive surgical margins and tumour margin clearance. These outcomes were measured for those patients that underwent 3D laparoscopic partial nephrectomy (LPN) and compared to historical data by the 110 © 2017 The Authors BJU International © 2017 BJU International | 119, Supplement 2, 82--118 110 Poster Abstracts same surgeon for patients that underwent conventional 2D LPN over the preceding 4 years. Statistical analysis of the data with chi-square and Fisher’s exact test was performed with SPSS v.23.0. Results: 22 patients were included in 3D laparoscopic partial nephrectomy (LPN) cohort with 17 patients included in the 2D LPN cohort. Conclusions: 3D laparoscopic partial nephrectomy is non-inferior to conventional 2D laparoscopic partial nephrectomy in our pilot study. The application of 3D technology in a training setting to decrease the learning curve for inexperienced laparoscopic surgeons is worth investigating.
dc.format.mimetypeapplication/pdf
dc.language.isoen_AU
dc.publisherWiley-Blackwell Publishing Ltd
dc.relation.ispartofseriesUrological Society of Australia and New Zealand 70th Annual Scientific Meeting
dc.rights© 2017 The Author(s) © 2017 BJU International
dc.sourceBJU International
dc.title3D laparoscopic partial nephrectomy in Australia: a pilot study
dc.typeConference poster
local.description.notesImported from ARIES
local.description.refereedYes
local.identifier.citationvolume119
dc.date.issued2017
local.identifier.absfor110312 - Nephrology and Urology
local.identifier.absfor110323 - Surgery
local.identifier.ariespublicationu5369653xPUB280
local.publisher.urlhttps://www.wiley.com/en-gb
local.type.statusPublished Version
local.contributor.affiliationMare, A, Calvary Hospital
local.contributor.affiliationHaxhimolla, Hodo, College of Health and Medicine, ANU
local.description.embargo2099-12-31
local.bibliographicCitation.issueS2
local.bibliographicCitation.startpage110
local.bibliographicCitation.lastpage111
local.identifier.doi10.1111/bju.13752
local.identifier.absseo920119 - Urogenital System and Disorders
local.identifier.absseo920118 - Surgical Methods and Procedures
dc.date.updated2021-02-14T07:22:26Z
dcterms.accessRightsFree Access via publisher website
CollectionsANU Research Publications

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