Lateroconal fascia suspension for management of peritoneal tear and “curtain” effect during retroperitoneal laparoscopic operations

Yin, Xin; Cui, Liang; Li, Fanglong; Qi, Siyong; Yin, Zhaoyang; Gao, Jiangping

doi:10.1007/s11255-015-1156-0

Cited by 2 publications

(2 citation statements)

References 11 publications

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“…When Gerota fascia was incised longitudinally close to the dorsal side, the remaining fascia was retracted to the ventral side and affect exposure of ventral field of view. Yin et al ( 7 ). reported that they performed LFS procedure in 30 cases of retroperitoneal laparoscopic surgery including adrenalectomy (12 cases), PN (9 cases) and radical nephrectomy (9 cases).…”

Section: Discussionmentioning

confidence: 99%

“…Retroperitoneal workspace was created with finger by pushing forward the peritoneum and pressure-balloon from surgical glove mounted on a red catheter (diameter was 4 mm). The other two ports were inserted at anterior and posterior axillary line close to costal line under the direct view ( 3 , 7 , 8 ). The CO 2 pressure was maintained at 15 mmHg during the surgical procedure.…”

Section: Methodsmentioning

confidence: 99%

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Lateroconal fascia suspension facilitates retroperitoneal partial nephrectomy

Alimu¹,

Dai²,

Huang³

et al. 2022

Transl Cancer Res TCR

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Background As the development of various imaging techniques, the incidental detection of renal masses is increasing. Laparoscopic partial nephrectomy (LPN) is the current standard of treatment for renal carcinoma. Though the retroperitoneal laparoscopic partial nephrectomy (RLPN) become the prior choice, the edge of lateroconal fascia blocks the sight and make operation more challenging. Methods Between October 2018 and December 2020, the clinical data of 28 cases diagnosed with renal cell carcinoma (RCC) in our hospital was collected and analyzed retrospectively. All patients underwent RLPN and for management of curtain effect, we performed lateroconal fascia suspension (LFS) procedure in all cases with prepared Hem-o-lock clip which bound with 2-0 suture. Results RLPN for renal tumor was successfully performed in all cases with no conversions to open surgery and other interruptions. In all cases, the free edge of lateroconal fascia and peritoneum partially blocked the sight of surgeon. We managed the curtain effect successfully and got a satisfying field of view for subsequent surgical procedure. The median operation time was 142 [interquartile range (IQR), 110–164] min, median estimated blood loss was 93 (IQR, 50–100) mL. Median warm ischemia time was 29 (IQR, 22–30) min. Conclusions LFS is useful for management of curtain effect. It is a simple, economical and less invasive technique and we can get better efficiency with little consumption.

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Section: Discussionmentioning

confidence: 99%