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2020, Number 2

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RCU 2020; 9 (2)

Lumboscopic approach. What happened?

Ochoa GY, González LT, Rodríguez PM, Sánchez TR, Quintana RM

Language: Spanish
References: 10
Page: 61-67
PDF size: 737.47 Kb.


ABSTRACT

Introduction: At the National Center for Minimal Access Surgery is developed from 1999 the lumboscopic surgery. In 2012 a study was conducted which showed the feasibility of such access. Since then it has been expanded the range of indications of this approach.
Objective: To describe the results of surgery by lumboscopic approach carried out in the National Center for Minimal Access Surgery.
Material and method: A descriptive, retrospective cross-sectional study of patients treated by lumboscopic approach from 2011 to 2014 was carried out. The sample was composed by 184 patients.
Results: The mean age was 52.1 years. There was a predominance of the diagnosis of renal hydronephrotic atrophy (53.8%), mostly due to renoureteral lithiasis (49.5%). The 14.7% had a history of previous surgery in the affected lumbar region and the 88.5% had urinary diversion at the time of the surgery. Nephrectomy of benign cause (54.3%) and surgery of moderate complexity (73.9%) predominated. The average surgical time was 163.6 minutes and the hospital stay was of 2.8 days. The conversion to open surgery occurred in three patients. The 12.5% presented complications; infectious ones predominated (73.9%). The 73.9% had a diagnosis of renoureteral lithiasis.
Conclusions: The introduction of surgical techniques of high/extreme complexity by lumboscopic approach depends on the expertise of the work team. Renoureteral lithiasis and the antecedent of urinary tract infection are closely related to the conversion to open surgery and the presence of postoperative complications.


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