Analysis of complications from 600 retroperitoneoscopic procedures of the upper urinary tract during the last 10 years

Liapis, D; Taille, Alexandre de la; Ploussard, Guillaume; Robert, G.; Bastien, Laurence; Hoznek, Andràs; Vordos, Dimitri; Abbou, Claude C.; Salomon, Laurent

doi:10.1007/s00345-008-0319-3

Cited by 49 publications

(50 citation statements)

References 37 publications

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“…[21][22][23][24] Many studies have shown that retroperitoneal LDN is as safe and feasible as transperitoneal LDN, with less invasiveness than transperitoneal LDN. [25][26][27] The aim of LDN is to decrease operative trauma to the donor and guarantee as much as graft quality as possible. Incisional trauma to some degree is important for the donor deciding to donate, especially for young women.…”

Section: Discussionmentioning

confidence: 99%

Inguinal Incision as a Successful Route To Extract the Kidney During Laparoscopic Retroperitoneal Live-Donor Nephrectomy

Wang

Liu²,

Lin³

et al. 2013

Exp Clin Transplant

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Objectives: We sought to evaluate the advantages of an inguinal incision in extracting the kidney during retroperitoneal laparoscopic live-donor nephrectomy. Materials and Methods: From May 2008 to June 2011, fifty-eight cases of retroperitoneal live-donor nephrectomy were performed at our hospital; all data were analyzed retrospectively. All donors were grouped in a test group (n=32, inguinal incision) or a control group (n=26, lumbar incision) according to the selected graft retrieval incision. Donors were compared with regard to operative time and warm ischemia time, operative blood loss, hospital stay, cosmetic satisfaction, and incision complications. Results: All 58 cases of retroperitoneal live-donor nephrectomy were successfully accomplished, without donor death, serious complications, and conversion to open surgery. There were no differences in mean operative time, mean blood loss, mean warm ischemic time, graft function, and 1-year graft survival rate between the groups. However, in a test group, the mean hospital stay was shorter (P < .01), and the satisfaction with cosmesis was higher (P < .01). The incidence rates of abdomen asymmetry (9/28), incision hernia (4/28), wound infection (5/28), and wound faulty union (6/28) were higher in the control group than they were in the test group. Conclusions: Inguinal incision is a safe and practical graft retrieval incision in retroperitoneal laparoscopic donor nephrectomy and can be generally applied.

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Section: Discussionmentioning

confidence: 99%

Inguinal Incision as a Successful Route To Extract the Kidney During Laparoscopic Retroperitoneal Live-Donor Nephrectomy

Wang

Liu²,

Lin³

et al. 2013

Exp Clin Transplant

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“…By the retroperitoneal technique, entry in the peritoneal cavity is avoided so that adhesions from previous operations or other intraperitoneal diseases are not involved in the procedure (Fernández-Cruz et al 1999;Bonjer et al 2000;Suzuki et al 2001). Also, the possibility of complications such as visceral and vascular injury may be reduced and postoperative adhesions and peritonitis are minimized (Liapis et al 2008). In addition, the retroperitoneal approach may be beneficial for obese patients or those with pre-existing cardiorespiratory deficiency, because of the avoidance of the hemodynamic and respiratory effects of carbon dioxide pneumoperitoneum (Wolf et al 1995;Fernández-Cruz et al 1996;Fareli-Matin .…”

Section: Discussionmentioning

confidence: 99%

“…The main disadvantage of the retroperitoneal approach is the limited working space and therefore it is more difficult to manage large tumours via this technique (Fernández-Cruz et al 1996Bonjer et al 1997Bonjer et al , 2000. Additionally, the limited skin area available can possibly make the port placement difficult and improper which may result in colonic injury because of the relatively fixed peritoneal fixation (Liapis et al 2008). One of the main advantages of the lateral retroperitoneal approach over the posterior is that it can be converted to flank transperitoneal if the dissection becomes difficult to proceed (Fernández-Cruz et al 1999).…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Adrenalectomy: Where Do We Stand Now?

Karanikola

Tsigris

Kontzoglou

et al. 2010

Tohoku J. Exp. Med.

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“…Retroperitoneoscopy is a reliable and widespread method for treating urological problems [8]. The fascia of the psoas muscle with posterior perirenal fascia is anatomically placed in the retroperitoneal space [9], so we had thought that retroperitoneoscopic drainage can be used instead of open surgical drainage for psoas abscesses.…”

Section: Introductionmentioning

confidence: 99%

Retroperitoneoscopic drainage of complicated psoas abscesses in patients with tuberculous lumbar spondylitis

et al. 2011

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Purpose Nowadays, endoscopic techniques are widely used in surgical procedures. Retroperitoneoscopy has been an extremely valuable tool for a wide variety of urologic disorders, whereas, it has limited use in orthopedic procedures. MethodsWe performed retroperitoneoscopic drainage (in combination with medical treatment) of complicated psoas abscess on 12 patients with tuberculous spondylitis. All the procedures were done under general anesthesia and in the lateral decubitus position. Psoas abscess was evacuated during procedure, and postoperatively, drainage was continued through a large silastic tube. The definitive diagnosis and the treatment were made based on the results of culture-antibiogram and PCR testing. Results Complete clinical and radiologic remission was observed in all patients in 3-6 months. The complication was not observed in any case postoperatively.Conclusions Retroperitoneoscopic drainage of psoas abscesses gains advantages in terms of rapid recovery, minimal invasiveness, absence of radiation, and shorter hospital stay. This procedure can be used not only for cold abscesses but also for other pathologies of lumbar vertebral area.

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Analysis of complications from 600 retroperitoneoscopic procedures of the upper urinary tract during the last 10 years

Cited by 49 publications

References 37 publications

Inguinal Incision as a Successful Route To Extract the Kidney During Laparoscopic Retroperitoneal Live-Donor Nephrectomy

Inguinal Incision as a Successful Route To Extract the Kidney During Laparoscopic Retroperitoneal Live-Donor Nephrectomy

Laparoscopic Adrenalectomy: Where Do We Stand Now?

Retroperitoneoscopic drainage of complicated psoas abscesses in patients with tuberculous lumbar spondylitis

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