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- W2308487738 abstract "No AccessJournal of Urology1 Dec 1993Organ Entrapment and Renal Morcellation: Permeability Studies Donald A. Urban, Kurt Kerbl, Elspeth M. McDougall, A.M. Stone, Paul T. Fadden, and Ralph V. Clayman Donald A. UrbanDonald A. Urban More articles by this author , Kurt KerblKurt Kerbl More articles by this author , Elspeth M. McDougallElspeth M. McDougall More articles by this author , A.M. StoneA.M. Stone More articles by this author , Paul T. FaddenPaul T. Fadden More articles by this author , and Ralph V. ClaymanRalph V. Clayman More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)35897-4AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail We collected 24 intact LapSacs* Cook Urological, Inc., Spencer, Indiana. during a laparoscopy course at our institution. Following laparoscopic nephrectomy or nephroureterectomy in a pig using high speed electrical tissue morcellation, the sacks were examined for perforation. When filled with water, 4 of the 24 LapSacs (16%) were found to have small perforations. The 20 remaining sacks were randomly divided into 3 groups of 6 and 2 sacks, although intact, were kept as substitutes to use if a trial with the study sacks could not be completed. Each group of 6 sacks was tested for permeability using 10mg./ml. bovine serum albumin, 8mg./ml. indigo carmine or 1 × 105/ml. mouse bladder tumor cells. The results in the 18 tested sacks showed no dialysis of bovine serum albumin in the dialysate at 1, 3 and 18 hours, and no dialysis of indigo carmine at 0, 1, 2 and 3 hours. In 1 of 6 sacks tested with a mouse bladder tumor cell line a single cell was noted on the hemocytometer at 1 and 3 hours. The lack of an increasing concentration of cells at the 3-hour interval likely indicates that this represented contamination of the dialysate rather than ongoing leakage from a perforated sack in this case. We conclude that the LapSac, when properly used, remains impermeable throughout the morcellation process. © 1993 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited BySong J, Kim E, Mobley J, Vemana G, Tanagho Y, Vetter J, Bhayani S, Russo P, Fugita O, Yang S, Iwamura M and Figenshau R (2018) Port Site Metastasis after Surgery for Renal Cell Carcinoma: Harbinger of Future MetastasisJournal of Urology, VOL. 192, NO. 2, (364-368), Online publication date: 1-Aug-2014.Kerbl D, McDougall E, Clayman R and Mucksavage P (2018) A History and Evolution of Laparoscopic Nephrectomy: Perspectives From the Past and Future Directions in the Surgical Management of Renal TumorsJournal of Urology, VOL. 185, NO. 3, (1150-1154), Online publication date: 1-Mar-2011.Nadler R, Loeb S, Clemens J, Batler R, Gonzalez C and Vardi I (2018) A Prospective Study of Laparoscopic Radical Nephrectomy for T1 Tumors—Is Transperitoneal, Retroperitoneal or Hand Assisted the Best Approach?Journal of Urology, VOL. 175, NO. 4, (1230-1234), Online publication date: 1-Apr-2006.MENG M, MILLER T, CHA I and STOLLER M (2018) Cytology of Morcellated Renal Specimens: Significance in Diagnosis and DisseminationJournal of Urology, VOL. 169, NO. 1, (45-48), Online publication date: 1-Jan-2003.SUNDARAM C, ONO Y, LANDMAN J, REHMAN J and CLAYMAN R (2018) HYDROPHILIC GUIDE WIRE TECHNIQUE TO FACILITATE ORGAN ENTRAPMENT USING A LAPAROSCOPIC SACK DURING LAPAROSCOPYJournal of Urology, VOL. 167, NO. 3, (1376-1377), Online publication date: 1-Mar-2002.LANDMAN J, LENTO P, HASSEN W, UNGER P and WATERHOUSE R (2018) FEASIBILITY OF PATHOLOGICAL EVALUATION OF MORCELLATED KIDNEYS AFTER RADICAL NEPHRECTOMYJournal of Urology, VOL. 164, NO. 6, (2086-2089), Online publication date: 1-Dec-2000.Dunn M, Portis A, Shalhav A, Elbahnasy A, Heidorn C, McDougall E and Clayman R (2018) LAPAROSCOPIC VERSUS OPEN RADICAL NEPHRECTOMY: A 9-YEAR EXPERIENCEJournal of Urology, VOL. 164, NO. 4, (1153-1159), Online publication date: 1-Oct-2000.SHALHAV A, DUNN M, PORTIS A, ELBAHNASY A, DOUGALL E and CLAYMAN R (2018) LAPAROSCOPIC NEPHROURETERECTOMY FOR UPPER TRACT TRANSITIONAL CELL CANCER: THE WASHINGTON UNIVERSITY EXPERIENCEJournal of Urology, VOL. 163, NO. 4, (1100-1104), Online publication date: 1-Apr-2000.SALOMON L, HOZNEK A, CICCO A, GASMAN D, CHOPIN D and ABBOU C (2018) RETROPERITONEOSCOPIC NEPHROURETERECTOMY FOR RENAL PELVIC TUMORS WITH A SINGLE ILIAC INCISIONJournal of Urology, VOL. 161, NO. 2, (541-544), Online publication date: 1-Feb-1999.Ono Y, Katoh N, Kinukawa T, Matsuura O and Ohshima S (2018) Laparoscopic Radical Nephrectomy: The Nagoya ExperienceJournal of Urology, VOL. 158, NO. 3, (719-723), Online publication date: 1-Sep-1997.Elashry O, Giusti G, Nadler R, McDougall E and Clayman R (2018) Incisional Hernia After Laparoscopic Nephrectomy With Intact Specimen Removal: Caveat EmptorJournal of Urology, VOL. 158, NO. 2, (363-369), Online publication date: 1-Aug-1997.McDougall E, Clayman R and Elashry O (2018) Laparoscopic Radical Nephrectomy for Renal Tumor: The Washington University ExperienceJournal of Urology, VOL. 155, NO. 4, (1180-1185), Online publication date: 1-Apr-1996.Suzuki K, Masuda H, Ushiyama T, Hata M, Fujita K and Kawabe K (2018) Gasless Laparoscopy-Assisted Nephrectomy without Tissue Morcellation for Renal CarcinomaJournal of Urology, VOL. 154, NO. 5, (1685-1687), Online publication date: 1-Nov-1995.McDougall E, Clayman R and Elashry O (2018) Laparoscopic Nephroureterectomy for Upper Tract Transitional Cell Cancer: The Washington University ExperienceJournal of Urology, VOL. 154, NO. 3, (975-980), Online publication date: 1-Sep-1995. Volume 150Issue 6December 1993Page: 1792-1794 Advertisement Copyright & Permissions© 1993 by The American Urological Association Education and Research, Inc.Keywordsperitoneoscopyorgan procurementequipment contaminationdialysis solutionsMetricsAuthor Information Donald A. Urban More articles by this author Kurt Kerbl More articles by this author Elspeth M. McDougall More articles by this author A.M. Stone More articles by this author Paul T. Fadden More articles by this author Ralph V. Clayman More articles by this author Expand All Advertisement PDF DownloadLoading ..." @default.
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