Purpose: Retroperitoneal procedures were initiated in 1992 by balloon dissection of the retroperitoneum. More recently a new type of retroperitoneal access has been obtained by directly entering the retroperitoneum using the Visiport visual trocar.* We present our initial experience with direct visual access to the retroperitoneum in the pediatric population. Materials and Methods: A total of 31 children underwent retroperitoneal laparoscopy, including renal biopsy in 22, varicocelectomy in 5, renal cyst ablation in 3 and pyelolithotomy for a staghorn stone in 1. Patients were placed in the full flank position. A maximum of 3 ports was used and the initial trocar was placed under direct vision. The laparoscope was then used to dissect bluntly a working space in the retroperitoneum. Results: All procedures were successful. Blood loss was minimal. Operative time was 4 hours for pyelolithotomy and less than 1 for the other procedures. Mean hospital stay was 1.5 days and all patients returned to normal activity at a mean of 6 days. Two minor complications developed. The peritoneum was inadvertently entered in 1 case, in which no further treatment was necessary and convalescence was uneventful and short. In another case severe arrhythmia developed, resulting in an aborted procedure. Conclusions: This technique is simple, safe and does not require extensive laparoscopic experience.

Micali, S., Caione, P., Virgili, G., Capozza, N., Scarfini, M., & Micali, F. (2001). Retroperitoneal laparoscopic access in children using a direct vision technique. THE JOURNAL OF UROLOGY, 165(4), 1229-1232.

Retroperitoneal laparoscopic access in children using a direct vision technique

VIRGILI, GUIDO;
2001

Abstract

Purpose: Retroperitoneal procedures were initiated in 1992 by balloon dissection of the retroperitoneum. More recently a new type of retroperitoneal access has been obtained by directly entering the retroperitoneum using the Visiport visual trocar.* We present our initial experience with direct visual access to the retroperitoneum in the pediatric population. Materials and Methods: A total of 31 children underwent retroperitoneal laparoscopy, including renal biopsy in 22, varicocelectomy in 5, renal cyst ablation in 3 and pyelolithotomy for a staghorn stone in 1. Patients were placed in the full flank position. A maximum of 3 ports was used and the initial trocar was placed under direct vision. The laparoscope was then used to dissect bluntly a working space in the retroperitoneum. Results: All procedures were successful. Blood loss was minimal. Operative time was 4 hours for pyelolithotomy and less than 1 for the other procedures. Mean hospital stay was 1.5 days and all patients returned to normal activity at a mean of 6 days. Two minor complications developed. The peritoneum was inadvertently entered in 1 case, in which no further treatment was necessary and convalescence was uneventful and short. In another case severe arrhythmia developed, resulting in an aborted procedure. Conclusions: This technique is simple, safe and does not require extensive laparoscopic experience.
Pubblicato
Rilevanza internazionale
Articolo
Sì, ma tipo non specificato
Settore MED/24 - Urologia
eng
Con Impact Factor ISI
Laparoscopy; Retroperitoneal space
Micali, S., Caione, P., Virgili, G., Capozza, N., Scarfini, M., & Micali, F. (2001). Retroperitoneal laparoscopic access in children using a direct vision technique. THE JOURNAL OF UROLOGY, 165(4), 1229-1232.
Micali, S; Caione, P; Virgili, G; Capozza, N; Scarfini, M; Micali, F
Articolo su rivista
File in questo prodotto:
Non ci sono file associati a questo prodotto.

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2108/54337
Citazioni
  • ???jsp.display-item.citation.pmc??? ND
  • Scopus ND
  • ???jsp.display-item.citation.isi??? ND
social impact