| Revue: | International braz j urol |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000434903 |
| ISSN: | 1677-5538 |
| Autores: | Shi, Changjin1 Li, Feng1 Wang, Yanchao1 Pei, Long1 Wang, Tao2 |
| Instituciones: | 1Hebei Medical University, The Fourth Affiliated Hospital, Shijiazhuang, Hebei. China 2Hebei Provincial General Hospital, Department of Nephrology, Shijiazhuang, Hebei. China |
| Año: | 2018 |
| Periodo: | Nov-Dic |
| Volumen: | 44 |
| Número: | 6 |
| País: | Brasil |
| Idioma: | Inglés |
| Tipo de documento: | Artículo |
| Enfoque: | Analítico, descriptivo |
| Resumen en inglés | Objective: To report our experience of retroperitoneoscopic technique in semi-lateral decubitus position for the retroperitoneal nonadrenal ganglioneuromas in 18 patients, and to evaluate its clinical outcomes. Materials and Methods: From January 2012 to May 2016, 18 patients with retroperitoneal nonadrenal ganglioneuromas underwent retroperitoneoscopic resection. With the patients in semi-lateral decubitus position, a 4-port retroperitoneal approach was used. Data were collected on the tumor size, tumor location, perioperative outcomes, pathology, and last-known disease status. We reviewed the operative videos to identify surgical tips and tricks. Results: All procedures were carried out successfully without converting to open surgery. The tumors had an average size of 5.2cm. The mean operative time was 86.5 min, with a mean estimated blood loss of 85.4mL. There were three patients suffering from intraoperative complications. Postoperatively, all patients achieved an uneventful recovery; the mean postoperative hospital stay was 5.5 days. The postoperative pathology revealed to be retroperitoneal ganglioneuromas. With a mean follow-up of 39.5 months, all patients were recurrence free. The review of the operative videos revealed several tips and tricks, including keeping peritoneum and posterior Gerota fascia intact to provide a favorable operative exposure of tumors, and placing the harmonic scalpel through different ports during tumor dissection. Conclusions: With the patient in semi-lateral decubitus position and a 4-port retroperitoneal approach, retroperitoneoscopic resection of retroperitoneal nonadrenal ganglioneuroma is a feasible, effective, and safe procedure. This approach has distinct advantages including direct access to the tumor, optimal exposure of tumor and less intraperitoneal interference |
| Disciplinas: | Medicina |
| Palabras clave: | Oncología, Cirugía, Neoplasias, Retroperitoneo, Ganglioneuroma, Resección quirúrgica |
| Keyword: | Oncology, Surgery, Neoplasms, Retroperitoneum, Ganglioneuroma, Surgical resection |
| Texte intégral: | Texto completo (Ver HTML) Texto completo (Ver PDF) |
