Direct carbon dioxide insufflation of the retroperitoneum under laparoscopic control for renal and adrenal surgery
(1997) European Journal of Surgery — Vol. 163, n° 5, p. 339-344 (1997)
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- Abstract
- OBJECTIVE: Assessment of the videoscopic approach to the retroperitoneal space in the vicinity of the kidney and the adrenal gland. DESIGN: Open study. SETTING: University hospital, Belgium. SUBJECTS: 10 patients who underwent 11 operations (adrenalectomy, n = 3, nephrectomy, n = 5, partial nephrectomy, n = 2, and renal cystectomy, n = 1). INTERVENTIONS: Direct CO2 insufflation of the retroperitoneal space in order to obtain a convenient retroperitoneal working space for renal and adrenal surgery. OUTCOME MEASURES: Feasibility, morbidity and mortality. RESULTS: 8 patients were operated on exclusively by the retroperitoneoscopic approach; 2 required the retroperitoneal and transperitoneal routes to be combined to complete an adrenalectomy. No patients required blood transfusion and no patient died. Median postoperative stay was 3 days. CONCLUSION: The CO2 insufflation technique of the retroperitoneum is safe and reproducible. Nevertheless, far from excluding each other, both approaches-laparoscopic and retroperitoneoscopic-are complementary in difficult cases, particularly for adrenal endoscopic surgery and for larger renal lesions.
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De Canniere, L., Michel, L., Lorge, F., Rosière, A., & Vanden Bossche, P. (1997). Direct carbon dioxide insufflation of the retroperitoneum under laparoscopic control for renal and adrenal surgery. European Journal of Surgery, 163(5), 339-344. https://hdl.handle.net/2078.5/136798 (Original work published 1997)