Retroperitoneoscopic nephrectomy in benign pathology
Int. braz. j. urol
; 32(5): 521-528, Sept.-Oct. 2006. ilus, tab
Article
em En
| LILACS
| ID: lil-439383
Biblioteca responsável:
BR1.1
ABSTRACT
INTRODUCTION:
We report our experience with 43 retroperitoneal laparoscopic nephrectomy for benign kidney disease. MATERIALS ANDMETHODS:
All patients had a poor function from obstructive uropathology and renal atrophy. None of these patients had a previous lumbotomy. Retroperitoneoscopy was performed with 4 trocar port technique in a lateral position. The retroperitoneal space is created by using a Gaur's balloon made of sterile glove. The approach to vascular pedicle was done posteriorly and vessels were clipped by metal and Hem-o-lock (Weck Closure Systems, North Carolina, USA) clips. The sample was intact extracted in an Endo-Bag prolonging one trocar incision.RESULTS:
Median operative time was 160 minutes and median blood loss was 200 mL. Four cases (9 percent) were converted to open surgery one case due to bleeding and 3 cases due to technical difficulties regarding perirenal adherences. Most patients (39) checked out from the Hospital in day two. Four of them were left over 3 days due to wound complications.CONCLUSIONS:
Retroperitoneoscopy offers a safe, effective and reproductive access to nephrectomy for benign pathologies.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
LILACS
Assunto principal:
Laparoscopia
/
Nefropatias
/
Nefrectomia
Limite:
Adult
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Int. braz. j. urol
Assunto da revista:
UROLOGIA
Ano de publicação:
2006
Tipo de documento:
Article