Retroperitoneal Laparoscopic Nephrectomy: Initial Case Report

Gaur, D.D.; Agarwal, Dinesh; Purohit, K.C.

doi:10.1016/s0022-5347(17)36012-3

Cited by 266 publications

(102 citation statements)

References 3 publications

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“…Subsequent analyses were quick to demonstrate the advantages of laparoscopic procedures compared to open surgery. When compared to classical surgery, the minimally invasive procedures resulted in similar oncological results, reduced blood loss, a smaller quantity of analgesics during postsurgery times, decrease in hospital stay time, and no increase in the risk of postsurgery complications [13,14]. The present series demonstrated a significant reduction in operative time, hospital stay time, and tumor size when comparing laparoscopy to open surgeries between the periods of 2001 to 2005 and 2006 to 2010.…”

Section: Discussionmentioning

confidence: 55%

Practice Trends in the Surgical Management of Renal Tumors in an Academic Medical Center in the Past Decade

et al. 2013

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Objectives. To evaluate the trends of surgical treatment of the renal tumor in an academic medical center. Methods. Between 2001 and 2010, 505 were treated surgically at the Federal University of Sao Paulo for renal tumors. The following variables were observed and analyzed according to their evolution through time: frequency and types of surgeries performed, operative time, hospital stay, and warm ischemia time for partial nephrectomy.Results. An increase in the frequency of laparoscopic radical nephrectomies, open partial nephrectomies, and laparoscopic partial nephrectomies was observed when comparing the periods from 2001 to 2005 (4.3%, 2.6%, and 12.6%, resp.) and from 2006 to 2010 (13.2%, 18.6%, and 20.2%, resp.; < 0.001). The average of operative time, hospital stay, and tumor size diminished (from 211.7 to 177.17 minutes, from 5.52 to 4.22 days, and from 6.72 to 5.29 cm, resp.) when compared to the periods from 2001 to 2005 and from 2006 to 2010 ( < 0.001, = 0.016, < 0.001, resp.). Conclusion. As time goes by, there has been a significant reduction in the hospital stay time, surgery time, and size of renal tumor in patients treated surgically. The frequencies of minimally invasive and nephron-sparing surgeries have increased over the last years.

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Section: Discussionmentioning

confidence: 55%

Practice Trends in the Surgical Management of Renal Tumors in an Academic Medical Center in the Past Decade

et al. 2013

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“…In 1993 two different methods to create a space in the retroperitoneum were proposed in two different countries. Gaur in India [8] with the patient in flank position, made a hole in the skin of the posterior lumbar space through which introduced a catheter with a glow finger secured on the tip. By inflating the finger tip like a balloon a space into the retroperitoneal fat was developed, enough to introduce trocars and carry on a retroperitoneoscopic procedure.…”

Section: Introductionmentioning

confidence: 99%

Retroperitoneoscopic Adrenalectomy 20 Years, and More, After. A Review

Mandressi¹

2016

UNOAJ

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Adrenalectomy has been a challenging surgery mainly due to the deep position of the adrenal gland in the retro-peritoneum under the diaphragm. Laparoscopy and the laparoscopic retroperitoneal approach offered a newer, easier, faster way to remove adrenals. The development of these techniques are described, up to nowadays, at what time a wide choice of tailored approaches to remove adrenal gland, according to its size, disease's status and position, are available.

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“…The pure retroperitoneal access for nephrectomy was described by Gaur three years later, using a balloon to create the surgical working space (2,3). Despite the preference for retroperitoneal approach in open urologic surgery worldwide the transperitoneal approach is the preferred technique for laparoscopic urologic surgery.…”

Section: Introductionmentioning

confidence: 99%

Retroperitoneoscopic nephrectomy in benign pathology

Quintela¹,

Cotta²,

Neves³

et al. 2006

Int. braz j urol.

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Introduction:We report our experience with 43 retroperitoneal laparoscopic nephrectomy for benign kidney disease. Materials and Methods: All patients had a poor function from obstructive uropathology and renal atrophy. None of these patients had a previous lumbotomy. Retroperitoneoscopy was performed with 4 trocar port technique in a lateral position. The retroperitoneal space is created by using a Gaur's balloon made of sterile glove. The approach to vascular pedicle was done posteriorly and vessels were clipped by metal and Hem-o-lock (Weck Closure Systems, North Carolina, USA) clips. The sample was intact extracted in an Endo-Bag prolonging one trocar incision. Results: Median operative time was 160 minutes and median blood loss was 200 mL. Four cases (9%) were converted to open surgery: one case due to bleeding and 3 cases due to technical difficulties regarding perirenal adherences. Most patients (39) checked out from the Hospital in day two. Four of them were left over 3 days due to wound complications. Conclusions: Retroperitoneoscopy offers a safe, effective and reproductive access to nephrectomy for benign pathologies.

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Retroperitoneal Laparoscopic Nephrectomy: Initial Case Report

Abstract: Pre-transplant nephrectomy was done in a 25-year-old man for calculous pyelonephritis using a retroperitoneal laparoscopic approach with a newly devised ligature applicator-dissector- kidney retractor.

Cited by 266 publications

References 3 publications

Practice Trends in the Surgical Management of Renal Tumors in an Academic Medical Center in the Past Decade

Practice Trends in the Surgical Management of Renal Tumors in an Academic Medical Center in the Past Decade

Retroperitoneoscopic Adrenalectomy 20 Years, and More, After. A Review

Retroperitoneoscopic nephrectomy in benign pathology

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