Cortez BR, Velarde CA, Díaz GC, Priego NA, Sánchez GJ, Díaz LNC, Esqueda MA, Cortés AY

Language: Spanish
References: 7
Page: 227-229
PDF size: 435.41 Kb.

ABSTRACT

Laparoscopic surgery has evolved and refined its techniques, it has allowed the increase of the options of surgical approaches, besides it allows the resolution of many cases, by means of minimum invasion surgery; with the reduction of the days of recovery, less use of analgesics. Lumboscopic pathway is an excellent choice for handling the retroperitoneum. Many techniques have been developed like the digital dissection that allows the creation of a working space without the need of balloons, with lower cost and same efficacy. We report one of first experience in advanced laparoscopic surgery at our medical center. It is about a 22 years old female with a complete double system in the right, the upper part is hydronefrotic, and this was resolved by a partial nephrectomy by lumboscopic approach, with good results.

REFERENCES

1. Clayman RV, Kavoussi LR, Soper NJ et al. Laparoscopic nephrectomy. N Engl J Med. 1991;324(9):1370-1.

2. Hemal AK, Talwar M, Wadhwa SN, Gupta NP. Retroperitoneoscopic nephrectomy for benign diseases of the kidney: prospective nonrandomized comparison with open surgical nephrectomy. J Endourol. 1999;13(6):425-31.

3. Rassweiler J, Frede T, Henkel TO, Stock C, Alken P. Nephrectomy: A comparative study between the transperitoneal and retroperitoneal laparoscopy versus the open approach. Eur Urol. 1998;33(5):489-496.

4. Cadeddu JA, Chan DY, Hedican SP, Lee BR, Moore RG, Kavoussi LR, Jarrett TW. Retroperitoneal Figura 4. Resección de la bolsa hidronefrótica con bisturí armónico. access for transperitoneal laparoscopy in patients at high risk for intra-abdominal scarring. J Endourol. 1999;13(8):567-570.

5. Gasman D, Saint F, Barthelemy Y, Antiphon P, Chopin D, Abbou CC. Retroperitoneoscopy: A laparoscopic approach for adrenal and renal surgery. Urology. 1996;47(6):801-6.

6. Gill IS, Rassweiler JJ. Retroperitoneoscopic renal surgery: our approach. Urology. 1999;54(4):734-738.

7. Hsu TH, Sung GT, Gill IS. Retroperitoneoscopic approach to nephrectomy. J Endourol. 1999;13(19):713-8.