Single-port retroperitoneal renal biopsy using standard urological instruments
Int. braz. j. urol
;
41(1): 168-171, jan-feb/2015. tab, graf
Article
Dans Anglais
| LILACS
| ID: lil-742859
ABSTRACT
Objective To describe the surgical technique and initial experience with a single-port retroperitoneal renal biopsy (SPRRB). Materials and Methods Between January and April 2013, five children underwent SPRRB in our hospital. A single 1.5 cm incision was performed under the 12th rib at mid-axillary line, and an 11 mm trocar was inserted. A nephroscope was used to identify the kidney and dissect the perirenal fat. After lower pole exposure, a laparoscopic biopsy forceps was introduced through the nephroscope working channel to collect a renal tissue sample. Results SPRRB was successfully performed in five children. The mean operative time was 32 minutes, and mean estimated blood loss was less than 10 mL. The hospital stay of all patients was two days because they were discharged in the second postoperative day, after remaining at strict bed rest for 24 hours after the procedure. The average number of glomeruli present in the specimen was 31. Conclusion SPRRB is a simple, safe and reliable alternative to open and videolaparoscopic approaches to surgical renal biopsy. .
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Espace rétropéritonéal
/
Laparoscopie
/
Cytoponction sous échoendoscopie
/
Rein
Type d'étude:
Étude pronostique
Limites du sujet:
Enfant
/
Femelle
/
Humains
/
Mâle
langue:
Anglais
Texte intégral:
Int. braz. j. urol
Thème du journal:
Urologie
Année:
2015
Type:
Article
Pays d'affiliation:
Brésil
Institution/Pays d'affiliation:
São Paulo State University/BR
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