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WJOLS


                                                      Is there an Ideal Port Position for Laparoscopic Urological Procedures?

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          Sixth: Tables 6A to D showed readings of timing taken  readings obtained in minutes were validated by χ  tests
          for laparoscopic donor nephrectomy and manipulation   and average obtained. The averages were 151.50, 128.50
          angles were approximated nearest to 30, 60 and 90º. The  and 158.83 respectively. Although, all the readings were
                                                              reproducible at p-value (11.070), 5% level of significance:
           Table 6C: Approximate manipulation angle of 90º and timing of
                       donor nephrectomy in minutes           it has clearly demonstrated that the 60º angle has shorter
                  Observed  Expected                 (O-E) 2  operative time followed by 30º and then 90º, and the angle
           Sl. no.  (O)    (E)     O-E    (O-E) 2      E      60º followed by 30º were more reproducible than 90º. This
           1      142      158.83  – 16.83 283.43  1.78       is shown in Graph 6 (Figs 12 to 19).
           2      186              29.17  850.89   3.36
           3      138              – 20.83 433.89  2.73
           4      159              0.17   0.03     0.00
           5      148              – 10.83 117.29  0.74
           6      180              21.17  448.17   2.82
                                                    2
           Mean in  158.83                         c = 10.43
           minutes
                         2
           p-value (11.070) > c , so data are reproducible
           Table 6D: Average duration of laparoscopic donor nephrectomy
                               in minutes
           Manipulation angles in degree  30  60    90
           Mean timing in minutes   151.50  128.50  158
           c 2                      3.61    3.19    10.43




                                                                             Fig. 14: ports’ positions


















            Fig. 12: the working angle at one of the ports’ positions in a
                           donor nephrectomy
























           Fig. 13: ports’ positions for left laparoscopic donor nephrectomy  Fig. 15: sites of ports’ positions after left donor nephrectomy
          World Journal of Laparoscopic Surgery, May-August 2014;7(2):74-87                                 85
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