A single‐centre experience of retroperitoneoscopy using the balloon technique

Abstract

Objective To report the experience in one centre of the efficacy and safety of retroperitoneal laparoscopic procedures (RLPs procedures (90.6%). The operative duration was 0.5-5.5 h, depending on the difficulty of the procedure and the presence or absence of adhesions. The overall incidence of complications was 12.9%, but decreased to 9% for the last 100 procedures. There were only five major complications, e.g. avulsion of the ureter, torn renal pelvis, colonic injury and severe hypotension, but none were related to balloon dissection. The mean blood loss was 37.7 mL and the reason for transfusion in three patients was not operative blood loss but displacement of the ligature in two and severe hypotension after removing a phaeochromocytoma in one. The mean duration of analgesic use was 2.5 days, the hospital stay 3 days and return to work 14 days. Conclusion Retroperitoneal laparoscopy using the balloon technique is a reasonably safe, efficient and reliable minimally invasive procedure. The efficiency, efficacy and safety of RLPs depend more on experience than on the type of access technique, type of balloon or medium used to inflate the balloon. Balloon rupture causes no tissue damage, and expansion to < 800 mL in adults is safe if the retroperitoneal space has not previously been invaded. The use of nitrous oxide for pneumo-insufflation in the retroperitoneal space is safe if proper precautions are taken.

Laparoscopic ureterolithotomy: Its role and some controversial technical considerations

“…Although our series seems small (30 cases), it is still the third largest series which has ever been reported in the world literature 9,10 …”

“…However, we preferred to perform through the retroperitoneal route. The retroperitoneal approach has several advantages over the transperitoneal approach, such as no need to mobilize the colon, and a low risk of visceral organ injury 5,10 . In addition, postoperative urinary leakage does not interfere with the peritoneal cavity 5,10 .…”

Retroperitoneoscopic Ureterolithotomy for the Treatment of Ureteral Calculi

“…The retroperitoneal route has several advantages over the transperitoneal approach: the risk of visceral injury is low, abdominal adherences and pain from peritoneal irritation do not interfere with the procedure, and there is no need to mobilize the colon [3,12]. The main disadvantage of retroperitoneoscopy is the small surgical field which needs to be expanded to create a viable working area.…”

A simple device for making a glove balloon for retroperitoneal dissection

“…All these balloon devices are equally effective in creating a retroperitoneal space but the homemade balloon devices have a high incidence of rupture. Though occasional complications due to extraperitoneal balloon in¯ation have been reported in the past, a recent study showed that if proper precautions are taken, balloon dilatation is quite safe [13][14].…”