| Journal: | International braz j urol |
| Database: | PERIÓDICA |
| System number: | 000296834 |
| ISSN: | 1677-5538 |
| Authors: | Quintela, Rodrigo S1 Cotta, Leonardo R Neves, Marcelo F Abelha-Junior, David L Tavora, Jose E |
| Institutions: | 1Hospital da Previdencia dos Servidores do Estado de Minas Gerais, Seccao de Urologia, Belo Horizonte, Minas Gerais. Brasil |
| Year: | 2006 |
| Season: | Sep-Oct |
| Volumen: | 32 |
| Number: | 5 |
| Pages: | 521-528 |
| Country: | Brasil |
| Language: | Inglés |
| Document type: | Artículo |
| Approach: | Caso clínico, analítico |
| English abstract | INTRODUCTION: We report our experience with 43 retroperitoneal laparoscopic nephrectomy for benign kidney disease. MATERIALS AND METHODS: 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%) 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 |
| Disciplines: | Medicina |
| Keyword: | Cirugía, Nefrología, Riñones, Nefrectomía, Laparoscopia, Retroperitoneo, Técnicas quirúrgicas |
| Keyword: | Medicine, Nephrology, Surgery, Kidneys, Nephrectomy, Laparoscopy, Retroperitoneum, Surgical techniques |
| Full text: | Texto completo (Ver HTML) |
