Laparoscopic Nephrectomy: The Experience of the Laparoscopy Working Group of the German Urologic Association

Rassweiler, Jens; Fornara, Paolo; Weber, Mathias; Janetschek, G.; Fahlenkamp, D.; Henkel, Thomas; Beer, M.; Stackl, W.; Boeckmann, W.; Recker, Franz; Lampel, A.; Fischer, C.; Humke, U.; Miller, Kurt

doi:10.1016/s0022-5347(01)63015-5

Cited by 235 publications

(139 citation statements)

References 19 publications

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“…The benefit of a less invasive surgical approach to urological disease is based on patient comfort, improved cosmetic results, and shorter convalescence compared to open surgery. 7,8 Renal anomalies, including agenesis, dysplasia, hypoplasia, ectopia, polycystic kidney, and horseshoe kidney, have been reported in SIT. Because of the association between situs inversus and cardiac, pulmonary, and renal anomalies, patient management with situs inversus and urologic disease requires careful preoperative evaluation.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic simple nephrectomy patient wıth situs inversus totalis and left renal hypoplasia: A case report

Çimen

Atik²,

Adsan³

2015

CUAJ

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E521Cite as: Can Urol Assoc J 2015;9(7-8):E521-3. http://dx.doi.org/10.5489/cuaj.2824 Published online July 17, 2015. AbstractSitus inversus totalis (SIT) is a relatively rare anatomical condition characterized by the transposition of thoracic and abdominal organs from the normal side to the opposite position. Most reports of laparoscopic procedures in patients with SIT cite technical difficulties and longer operative times due to disorientation because of the reversed abdominal organs and necessary modification of the surgeon's movements and techniques. We present a case of a patient with SIT in whom a transperitoneal laparoscopic simple nephrectomy was performed.

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Section: Discussionmentioning

confidence: 99%

Laparoscopic simple nephrectomy patient wıth situs inversus totalis and left renal hypoplasia: A case report

Çimen

Atik²,

Adsan³

2015

CUAJ

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“…Rassweiler et al 61 publicaron la experiencia inicial en nefrectomía laparoscópica de 14 centros pertenecientes al grupo de cirugía laparoscó-pica de la Asociación Urológica Alemana, donde se realizaron un total de 482 nefrectomías laparoscópicas. Encontraron que las tasas de complicaciones y conversión, así como el tiempo operatorio, dependieron principalmente de la patología renal.…”

Section: Nefrectomía Laparoscópicaunclassified

“…La frecuencia de complicaciones reportadas para ambas técnicas no muestra diferencias significativas 5,12,61 .…”

Section: Nefrectomía Laparoscópicaunclassified

Complicaciones en cirugía laparoscópica urológica

Galicia-Castillo

Cortés²

2006

Actas Urol Esp

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RESUMENCOMPLICACIONES EN CIRUGÍA LAPAROSCÓPICA UROLÓGICA La cirugía laparoscópica urológica ha tenido un considerable crecimiento en la última década, trayendo consigo un incremento en el número y espectro de complicaciones. Los informes de los centros con experiencia en esta técnica permiten prevenir y reconocer oportunamente las complicaciones propias de cada cirugía, así como manejarlas de manera segura y eficiente. Presentamos las complicaciones de nuestras cirugías laparoscópicas a partir de un registro prospectivo de todos los pacientes operados por laparoscopia en nuestra Unidad desde noviembre de 1992 a junio del 2005.Para la presentación de las complicaciones clasificamos los procedimientos por grados de complejidad y hacemos una revisión de la literatura dirigida a las complicaciones de cada cirugía.Palabras clave: Complicaciones. Laparoscopia. Urología. ABSTRACT COMPLICATIONS OF LAPAROSCOPIC UROLOGICAL PROCEDURESLaparoscopic urology has evolved considerably during last decade as well as number and spectrum of surgical related complications.Experiences reported by laparoscopic trained groups allow preventing, promptly recognizing, and safe and efficient management of the laparoscopic related complications.We present our complications in all patients undergoing urological laparoscopic procedures from November 1992 to June 2005. A literature search was conduced to evaluate complications of every laparoscopic procedure.

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“…[3][4][5] Nevertheless, it seems that laparoscopic procedures have complication rates that are comparable to those of open surgeries. [6][7][8][9] In some laparoscopic series, reintervention was necessary in 0.7% to 1.5% of the cases, 1,10 and it was usually associated with technical difficulties, such as adhesions and anatomic structures displacement, particularly when the patient previously had open surgery. Reoperation is always a stressful condition for patients and surgeons, and it carries the spectrum of medical malpractice issues.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Management of Iatrogenic Lesions

Abreu

Tanaka²,

Abreu³

et al. 2008

Journal of Endourology

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Purpose: To present our series of patients who underwent laparoscopic correction of iatrogenic lesions and a review of the literature. Patients and Methods:We evaluated 23 patients who underwent laparoscopic correction of iatrogenic lesions.Thirteen patients had open surgery, 6 had an endoscopic procedure, and 4 had a laparoscopic approach as the first surgical procedure. Vesicovaginal fistulas (VVF) developed in seven patients after open abdominal hysterectomies, and 1 patient presented with a VVF after ureterolithotripsy. A urethral cutaneous fistula developed in one patient after a laparoscopic resection of endometriosis nodules, and 1 patient presented with a ureterovaginal fistula after a perineoplasty. Three patients presented with encrusted ureteral stents after ureterolithotripsy. Ureteral stenosis developed in seven patients: three after open abdominal surgery, three after ureteroscopy, and one after pyeloplasty. One patient had a ureteral injury during laparoscopic partial nephrectomy, and two patients had bowel injuries after a tension-free vaginal tape procedure and a laparoscopic radical prostatectomy. Results: All patients underwent laparoscopic correction of the iatrogenic injuries. One patient had an early recurrence of a VVF, and one patient had a recurrence of a ureteral stenosis. There was one conversion to open surgery because of technical difficulties and one major bleeding event that necessitated blood transfusion. A lower limb compartmental syndrome developed in one patient. Conclusion: Despite the small number of patients and different types of surgeries performed, laparoscopic management of iatrogenic lesions seems to be feasible and safe in experienced hands. Its precise role in the management of this stressful condition still needs to be determined. 1279

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Laparoscopic Nephrectomy: The Experience of the Laparoscopy Working Group of the German Urologic Association

Cited by 235 publications

References 19 publications

Laparoscopic simple nephrectomy patient wıth situs inversus totalis and left renal hypoplasia: A case report

Laparoscopic simple nephrectomy patient wıth situs inversus totalis and left renal hypoplasia: A case report

Complicaciones en cirugía laparoscópica urológica

Laparoscopic Management of Iatrogenic Lesions

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