Upper urinary tract retroperitoneoscopic surgery under epidural anesthesia: Shifting towards outpatient treatment

Hammady, Ahmed; Abdelgalil, Wesam; Rashed, E.; Elbadry, Mohamed

doi:10.3109/21681805.2014.971426

Cited by 4 publications

(3 citation statements)

References 12 publications

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“…This minimally invasive technique is associated with quicker recovery and fewer complications, making the short-term result of retroperitoneoscopic surgery apparently superior to open surgery. 9,18,19 In our study, the mean surgery time of RNU was slightly longer than that of ONU, but the difference was not statistically significant. Our surgical experience has indicated that the key factor to influence surgical time is how quickly the renal artery is identified.…”

Section: Discussioncontrasting

confidence: 71%

Oncologic Results of Retroperitoneoscopic Versus Open Surgery for T2 Upper Tract Urothelial Carcinoma

Shan

Wang²,

Sun

et al. 2015

Clinical Genitourinary Cancer

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Section: Discussioncontrasting

confidence: 71%

Oncologic Results of Retroperitoneoscopic Versus Open Surgery for T2 Upper Tract Urothelial Carcinoma

Shan

Wang²,

Sun

et al. 2015

Clinical Genitourinary Cancer

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“…Generally, the procedure is carried out under general anesthesia, although other anesthesiologic techniques for mini-invasive surgery such as spinal and epidural anesthesia are under investigation. 15,16 The transperitoneal approach is usually favoured because of its more familiar anatomic landmarks and larger working area, although the retroperitoneal route is also feasible.…”

Section: Robotic-assisted Laparoscopic Pyeloplastymentioning

confidence: 99%

<p>Comparison of Safety, Efficacy and Outcomes of Robot Assisted Laparoscopic Pyeloplasty vs Conventional Laparoscopy</p>

Mantica¹,

Ambrosini²,

Parodi³

et al. 2020

RRU

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Pyeloplasty is considered the gold standard for the management of ureteropelvic junction obstruction in cases of flank pain, recurrent stone formation or infection, and deteriorating renal function. Over the last two decades, minimally invasive techniques such as robotic (RALP) and laparoscopic pyeloplasty (LP) have become increasingly popular and have been moderately replacing the open approach. This paper aims to provide a comprehensive up-to-date review on safety, efficacy and outcomes regarding robotic repair of UPJO compared to the conventional laparoscopic procedure. RALP represents a viable and innovative alternative to conventional LP with a comparable success and complication rate both in adult and in paediatric fields. The robotic approach seems to add further technical advantages when compared to conventional LP but sustains a higher costs. Currently, the choice to adopt one of the different minimally invasive approaches depends on the surgeon’s preference or experience, and on institutional availability.

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“…In surgeries that must be done with general anesthesia, epidural anesthesia can be used for the maintenance of anesthesia or in the postoperative period. In this way, the rate of intraoperative complications can be reduced and patients' comfort can be increased by providing postoperative pain control and also duration of hospital stay can be reduced [1].© 2017 The Author(s). Licensee InTech.…”

mentioning

confidence: 99%

Anesthesia for Urological Surgery

Tekgül¹,

Horsanalı²,

OzanHorsanali³

2017

Current Topics in Anesthesiology

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Because of the variable techniques and patients' positions used in urological surgery, anesthesia for urologic surgery requires advanced knowledge and special transactions. In this mater, it is important to follow current approaches for anesthesiologists. Diferent surgical procedures and complications due to diferent positions or anesthesia were evaluated separately to be more concise. We have researched recent literature and created this chapter about new technologies in urological surgery and development in anesthesia for urological surgery.Keywords: urological anesthesia, anesthesia management, anesthesia complications, urological surgery complications IntroductionAnesthesia for urological surgery includes unique distinctive diferences, as in all other surgical departments. Therefore, anesthesia for urological surgery requires featured training and experience.To reduce the risk of complications in urological surgery, like all other kinds of surgery, regional anesthesia techniques came to prominence with the help of technological developments. For many urological ventures, only neuraxial blockade application could be enough. This also results in decreased complication risks. In surgeries that must be done with general anesthesia, epidural anesthesia can be used for the maintenance of anesthesia or in the postoperative period. In this way, the rate of intraoperative complications can be reduced and patients' comfort can be increased by providing postoperative pain control and also duration of hospital stay can be reduced [1].© 2017 The Author(s). Licensee InTech. This chapter is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.During the urological surgery, diferent complications can develop depending on surgical techniques used. For example, most of urological ventures require lots of irrigation luids. In this venture, use of unheated irrigation luid can lead to complications such as hypothermia, delayed recovery from anesthesia and tremor [2].In addition to neuraxial blockade, the use of peripheral blockade has gained importance in urological surgery. For example, obturator blockade application for lateral wall localized bladder cancer could reduce intraoperative complications and increased cancer-free survival [3,4]. Anesthesia for kidney and upper urinary tract surgery Oncological surgery of kidney and upper urinary tract Radical and partial nephrectomyRenal cell carcinoma (RCC) is the ninth common cancer in the USA. According to the SEER database analysis, it is estimated that there will be 62,700 new cases and 14,240 people will die because of this disease. The incidence of kidney and renal pelvis cancer was 15.6 per 100,000 in the USA between 2009 and 2013 [5]. All around the world, radical or partial nephrectomy is accepted curative treatment for kidney tumors. Partial nephrectomy can be performed depending...

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Upper urinary tract retroperitoneoscopic surgery under epidural anesthesia: Shifting towards outpatient treatment

Cited by 4 publications

References 12 publications

Oncologic Results of Retroperitoneoscopic Versus Open Surgery for T2 Upper Tract Urothelial Carcinoma

Oncologic Results of Retroperitoneoscopic Versus Open Surgery for T2 Upper Tract Urothelial Carcinoma

<p>Comparison of Safety, Efficacy and Outcomes of Robot Assisted Laparoscopic Pyeloplasty vs Conventional Laparoscopy</p>

Anesthesia for Urological Surgery

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