Journal of Endourology A Prospective Randomized Study of Pfannenstiel versus Expanded Port Site Incision for Intact Specimen Extraction in Laparoscopic Radical Nephrectomy (doi: 10.1089/end.2014.0899) This article has been peer-reviewed and accepted for publication, but has yet to undergo copyediting and proof correction. The final published version may differ from this proof.
Page 1 of 27
1
A Prospective Randomized Study of Pfannenstiel versus Expanded Port Site Incision for Intact Specimen Extraction in Laparoscopic Radical Nephrectomy. Saleh Binsaleh(a), Khaled Madbouly(b), Edward D. Matsumoto(c), Anil Kapoor(c) (a)
Division of Urology, Department of Surgery, Faculty of Medicine, King Saud University, Riyadh, Saudi Arabia
(b)
Department of Urology, Prince Mohammed Bin Abdulaziz Hospital, Riyadh, Saudi Arabia
(c) McMaster Institute of Urology, St. Joseph's Healthcare, McMaster University, Hamilton, Ontario, Canada
Running title: Kidney extraction in laparoscopic nephrectomy
Correspondence: Dr. Saleh Binsaleh M.D, FRCS(C) Associate Professor and Consultant Urologist King Saud University Faculty of Medicine, Department of Surgery P.O Box 36175, Riyadh, 11419 Saudi Arabia Phone: 00966-11-4671575 Fax: 00966-11-4679493 Email: [email protected] 1
Journal of Endourology A Prospective Randomized Study of Pfannenstiel versus Expanded Port Site Incision for Intact Specimen Extraction in Laparoscopic Radical Nephrectomy (doi: 10.1089/end.2014.0899) This article has been peer-reviewed and accepted for publication, but has yet to undergo copyediting and proof correction. The final published version may differ from this proof.
Page 2 of 27
2 Dr. Khaled Madbouly, MD. Department of Urology, Prince Mohammed Bin Abdulaziz Hospital, Riyadh, Saudi Arabia P.O Box 106998, Riyadh 11676. Phone: +966 509243207, Fax: +966-11-2618551 Email: [email protected] Dr. Edward D. Matsumoto. MD, MEd, FRCS(C). St. Josephs Healthcare Institute of Urology, McMaster University, Hamilton, Ontario, Canada Office Phone: 001-905-521-6186 Email: [email protected] Dr. Anil Kapoor. MD, FRCS(C). St. Josephs Healthcare Institute of Urology, McMaster University, Hamilton, Ontario, Canada Office Phone: 905-522-6536. Email: [email protected]
2
Journal of Endourology A Prospective Randomized Study of Pfannenstiel versus Expanded Port Site Incision for Intact Specimen Extraction in Laparoscopic Radical Nephrectomy (doi: 10.1089/end.2014.0899) This article has been peer-reviewed and accepted for publication, but has yet to undergo copyediting and proof correction. The final published version may differ from this proof.
Page 3 of 27
3 Abstract Objective: To compare intra- and post-operative outcome of patients undergoing laparoscopic radical nephrectomy with intact specimen extraction through a Pfannenstiel (PFN) transverse suprapubic or expanded port site (EPS) incision in a prospective randomized fashion. Materials and Methods: Patients undergoing laparoscopic transperitoneal radical nephrectomies for suspected renal tumors were randomized for intact renal specimen extraction via a PFN or EPS incision. Operative, Perioperative, one week, 6 weeks, and 6 months postoperative parameters were prospectively recorded and analyzed including specimen weight, size in maximum diameter, incision length, total operative time, extraction time, estimated blood loss, length of hospital stay, pain score in the post-operative holding area and on the first post operative day, narcotic consumption, time to fluid intake/full diet intake, unassisted ambulation, cosmesis, and wound related complications. A postoperative quality of life questionnaire was also filled by all the patients. Results: Our series included 51 patients; 26 in PFN group and 25 in EPS group. The two groups were similar in demographic characteristics, intraoperative and postoperative parameters apart from a longer PFN incision length (p
Page 1 of 27
1
A Prospective Randomized Study of Pfannenstiel versus Expanded Port Site Incision for Intact Specimen Extraction in Laparoscopic Radical Nephrectomy. Saleh Binsaleh(a), Khaled Madbouly(b), Edward D. Matsumoto(c), Anil Kapoor(c) (a)
Division of Urology, Department of Surgery, Faculty of Medicine, King Saud University, Riyadh, Saudi Arabia
(b)
Department of Urology, Prince Mohammed Bin Abdulaziz Hospital, Riyadh, Saudi Arabia
(c) McMaster Institute of Urology, St. Joseph's Healthcare, McMaster University, Hamilton, Ontario, Canada
Running title: Kidney extraction in laparoscopic nephrectomy
Correspondence: Dr. Saleh Binsaleh M.D, FRCS(C) Associate Professor and Consultant Urologist King Saud University Faculty of Medicine, Department of Surgery P.O Box 36175, Riyadh, 11419 Saudi Arabia Phone: 00966-11-4671575 Fax: 00966-11-4679493 Email: [email protected] 1
Journal of Endourology A Prospective Randomized Study of Pfannenstiel versus Expanded Port Site Incision for Intact Specimen Extraction in Laparoscopic Radical Nephrectomy (doi: 10.1089/end.2014.0899) This article has been peer-reviewed and accepted for publication, but has yet to undergo copyediting and proof correction. The final published version may differ from this proof.
Page 2 of 27
2 Dr. Khaled Madbouly, MD. Department of Urology, Prince Mohammed Bin Abdulaziz Hospital, Riyadh, Saudi Arabia P.O Box 106998, Riyadh 11676. Phone: +966 509243207, Fax: +966-11-2618551 Email: [email protected] Dr. Edward D. Matsumoto. MD, MEd, FRCS(C). St. Josephs Healthcare Institute of Urology, McMaster University, Hamilton, Ontario, Canada Office Phone: 001-905-521-6186 Email: [email protected] Dr. Anil Kapoor. MD, FRCS(C). St. Josephs Healthcare Institute of Urology, McMaster University, Hamilton, Ontario, Canada Office Phone: 905-522-6536. Email: [email protected]
2
Journal of Endourology A Prospective Randomized Study of Pfannenstiel versus Expanded Port Site Incision for Intact Specimen Extraction in Laparoscopic Radical Nephrectomy (doi: 10.1089/end.2014.0899) This article has been peer-reviewed and accepted for publication, but has yet to undergo copyediting and proof correction. The final published version may differ from this proof.
Page 3 of 27
3 Abstract Objective: To compare intra- and post-operative outcome of patients undergoing laparoscopic radical nephrectomy with intact specimen extraction through a Pfannenstiel (PFN) transverse suprapubic or expanded port site (EPS) incision in a prospective randomized fashion. Materials and Methods: Patients undergoing laparoscopic transperitoneal radical nephrectomies for suspected renal tumors were randomized for intact renal specimen extraction via a PFN or EPS incision. Operative, Perioperative, one week, 6 weeks, and 6 months postoperative parameters were prospectively recorded and analyzed including specimen weight, size in maximum diameter, incision length, total operative time, extraction time, estimated blood loss, length of hospital stay, pain score in the post-operative holding area and on the first post operative day, narcotic consumption, time to fluid intake/full diet intake, unassisted ambulation, cosmesis, and wound related complications. A postoperative quality of life questionnaire was also filled by all the patients. Results: Our series included 51 patients; 26 in PFN group and 25 in EPS group. The two groups were similar in demographic characteristics, intraoperative and postoperative parameters apart from a longer PFN incision length (p
