Statements in which the resource exists as a subject.
PredicateObject
rdf:type
pubmed:issue
2
pubmed:dateCreated
1995-9-21
pubmed:abstractText
From October 1992 to June 1994, 12 nephrectomies (all for benign diseases), one nephropexy and 7 adrenalectomies (one pheochromocitoma, three adenomas, one cyst) were performed. In all the cases the retroperitoneal working space was created with direct CO2 insufflation (without balloon) with the patient in prone position. Four 10-12 mm ports were always inserted in the lumbar area. Eighteen procedures were successful (90%), 2 failed (one nephrectomy and one adrenalectomy) and underwent open surgery. Twelve procedures were carried out with the patients in prone position, six (one nephropexy and 5 nephrectomies) were performed with the patients in lateral de cubitus. The removal of organs was managed either through an enlarged port (phi 2 cm.) or by joining vertically the stabs of the two ports lateral to the sarcospinalis muscle. The average operative time was 4.10 hours) range 2.30-5.20). Both CO2 absorption and blood loss were negligible. No major complications were observed. Postoperative pain never required medications. All patients were able to stand on the 1st postoperative day. Mean postoperative hospitalisation was 4 days. Direct retroperitoneal approach provides optimal access for laparoscopic renal, proximal ureteral and adrenal surgery, avoiding extensive dissection and handling of intraperitoneal structures.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
0003-4401
pubmed:author
pubmed:issnType
Print
pubmed:volume
29
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
91-6
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed-meshheading:7646003-Absorption, pubmed-meshheading:7646003-Adenoma, pubmed-meshheading:7646003-Adrenal Gland Neoplasms, pubmed-meshheading:7646003-Adrenalectomy, pubmed-meshheading:7646003-Adult, pubmed-meshheading:7646003-Aged, pubmed-meshheading:7646003-Blood Loss, Surgical, pubmed-meshheading:7646003-Carbon Dioxide, pubmed-meshheading:7646003-Female, pubmed-meshheading:7646003-Humans, pubmed-meshheading:7646003-Insufflation, pubmed-meshheading:7646003-Kidney Diseases, pubmed-meshheading:7646003-Laparoscopy, pubmed-meshheading:7646003-Length of Stay, pubmed-meshheading:7646003-Male, pubmed-meshheading:7646003-Middle Aged, pubmed-meshheading:7646003-Nephrectomy, pubmed-meshheading:7646003-Pheochromocytoma, pubmed-meshheading:7646003-Posture, pubmed-meshheading:7646003-Prone Position, pubmed-meshheading:7646003-Retroperitoneal Space, pubmed-meshheading:7646003-Time Factors
pubmed:year
1995
pubmed:articleTitle
Retroperitoneoscopy.
pubmed:affiliation
Unitá Operativa di Urologia, Ospedale Generale, Busto Arsizio, VA, Italy.
pubmed:publicationType
Journal Article