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Titolo:
FROM LAPAROSCOPIC TRAINING ON AN ANIMAL-MODEL TO RETROPERITONEOSCOPICOR CELIOSCOPIC ADRENAL AND RENAL SURGERY IN HUMAN
Autore:
DECANNIERE L; LORGE F; ROSIERE A; JOUCKEN K; MICHEL LA;
Indirizzi:
UNIV LOUVAIN,MT GODINNE UNIV HOSP,SCH MED,SURG SERV B-5530 YVOIR BELGIUM UNIV LOUVAIN,MT GODINNE UNIV HOSP,SCH MED,SURG SERV B-5530 YVOIR BELGIUM
Titolo Testata:
Surgical endoscopy
fascicolo: 6, volume: 9, anno: 1995,
pagine: 699 - 701
SICI:
0930-2794(1995)9:6<699:FLTOAA>2.0.ZU;2-I
Fonte:
ISI
Lingua:
ENG
Keywords:
LAPAROSCOPY; RETROPERITONEUM; ADRENALECTOMY; ENDOCRINE DISORDERS; NEPHRECTOMY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
NO
Recensione:
Indirizzi per estratti:
Citazione:
L. Decanniere et al., "FROM LAPAROSCOPIC TRAINING ON AN ANIMAL-MODEL TO RETROPERITONEOSCOPICOR CELIOSCOPIC ADRENAL AND RENAL SURGERY IN HUMAN", Surgical endoscopy, 9(6), 1995, pp. 699-701

Abstract

So far, laparoscopic approaches to kidney and adrenal have been limited because of their retroperitoneal location. We here report eight renal and adrenal endoscopic procedures performed in seven patients: two adrenalectomies for hyperaldosteronism, one adrenalectomy for isolatedmetastasis from an adenocarcinoma of the lung; two nephrectomies for end-stage infected hydronephrosis, two partial nephrectomies for smallcircumscribed lesions of the kidney, and one endoscopic resection forpain relief of a voluminous cyst at the kidney. The approach was transperitoneal in two cases and retroperioneal in five cases using the retropneumoperitoneum insufflation technique. One patient was operated by a combined approach using the retro- and transperitoneal routes. Allprocedures were successfully completed endoscopically. The retroperitoneoscopic approach of the kidney is safe and does not interfere with the peritoneal organs. Its working space is tenuous, but allows a direct access on the kidney with good exposure of its pedicle. For adrenalsurgery, the retroperitoneoscopic dissection is more difficult, because movements of instruments are often impaired by the closeness of thecostal margin and the iliac crest. However, in case of difficulties we found it very convenient to switch from a retroperitoneal endoscopicapproach to a combined coelioscopic and retroperitoneoscopic operation. Far from excluding each other, both approaches are complementary, particularly for difficult situations (i.e., previous peritoneal or retroperitoneal surgery).

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 09/07/20 alle ore 19:08:01