Laparoscopic urological surgery: 1994

Modified minimal cost retroperitoneoscopic nephrectomy, nephrectomy with isthumusectomy and nephroureterectomy in children: a pilot study

“…In children, the question remains as to whether the invasiveness of laparoscopic renal surgery is any less than from open surgery, and thus we conducted this pilot study of RPN in children with NFKs, including congenital anomalous kidneys. Laparoscopic nephrectomy has been performed on children in a few centres, using transperitoneal or extraperitoneal access, but mostly transperitoneal [ 1, 2, 7, 9, 15–17]. The main disadvantage of RPN is the lack of space, although this problem can be overcome using the techniques described [ 18].…”

“…Laparoscopic renal surgery has been performed in children for un‐involuted, multicystic, dysplastic and defunct hydronephrotic kidneys, in the vast majority via a transperitoneal approach [ 3–5]. However, extraperitoneal nephrectomy has been reported infrequently [ 6–12]. Balloon dissection of the retroperitoneal space with air and water have also been described [ 12, 13].…”

Evaluation of the complications in transperitoneal laparoscopic renal and adrenal surgery with Clavien-Dindo classification

“…Fahlenkamp et al [9] performed a study on 2407 patients, and reported complication rates as 4.4 percent. However Gomella et al [10] indicated complication rate of 7.98 percent. Xu et al [11] compared patients who had undergone laparoscopic radical nephrectomy (n=88), and open nephrectomy (n=526) regarding complication rates, and reported complication rates as 19.31% in the laparoscopic radical nephrectomy, and 30.04% in the open radical nephrectomy arms.…”

“…[20] Literature data demonstrates the presence of a significant correlation between ASA score, and development of complication after laparoscopic surgery. [10,16] Permpongkosol et al [21] evaluated 2775 surgical cases of laparoscopic urology, and reported a correlation between development of complication, and increase in ASA score. However in our study any correlation was not detected between higher ASA score, and complication rate after laparoscopic surgery.…”

“…Previous studies have shown that laparoscopic surgery is difficult to perform in obese individuals, however any correlation between obesity, and incidence of complications could not be demonstrated. [10,16,18] Gong et al [19] reviewed 239 cases of laparoscopic renal surgery, and categorized the patients into 5 groups based on BMIs, and couldn't find any intergroup difference as for complication rates. Also in our study any correlation could not be found between BMI value, and development of complications.…”