Outcome of Retroperitoneoscopic Nephrectomy for Benign Nonfunctioning Kidney: A Single-Center Experience

Gupta, Narmada P.; Hemal, Ashok K.; Mishra, Saurabh; Dogra, Prem Nath; Kumar, Rajeev

doi:10.1089/end.2007.0267

Cited by 25 publications

(25 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…at this level, and there is only a little white loose fibrous tissue. Literatures (Hsiao & Pattaras;Gupta et al, 2008) also stressed that in retroperitoneoscopic nephrectomy, it is necessary to treat renal pedicle vessels outside the perirenal fascia in the space before psoas. 2) The renal pedicle is exactly located at about 2-4cm below the medial arcuate ligament of the diaphragm in the space between the psoas major muscle and inferior vena cava (abdominal aorta) in the center of the kidney (Fig.…”

Section: Discussionmentioning

confidence: 99%

Study and Clinical Application of the Anatomy of Renal Pedicles in Retroperitoneoscopic Nephrectomy

Zhang¹,

Shan²,

Han³

et al. 2013

Int. J. Morphol.

View full text Add to dashboard Cite

SUMMARY:This work aims to investigate the anatomical basis and clinical application value of renal pedicle locating in retroperitoneoscopic nephrectomy. To summarize the anatomical basis of renal pedicle locating through retrospective analysis of 278 cases of retroperitoneoscopic nephrectomy from July 2007 to September 2009, during which renal pedicle was located at about 2-4 cm below the medial arcuate ligament of the diaphragm in the space between the psoas major muscle and inferior vena cava (abdominal aorta) in the anatomical level of space before psoas. The operation of 278 patients was all successfully completed, where renal pedicle was quickly found. It took 3.5±1.3 min to locate the renal pedicle, and 95.6±23.8 min to operate. In retroperitoneoscopic nephrectomy, it is most preferable to locate renal pedicle in the space before psoas. The renal pedicle is located exactly at about 2-4 cm below the medial arcuate ligament of the diaphragm in the space between the psoas major muscle and inferior vena cava (abdominal aorta). The time for locating the renal pedicle can be shortened if the surgeon is familiar with the anatomic features of renal pedicle in retroperitoneoscopy, thereby saving the operation time.

show abstract

Section: Discussionmentioning

confidence: 99%

Study and Clinical Application of the Anatomy of Renal Pedicles in Retroperitoneoscopic Nephrectomy

Zhang¹,

Shan²,

Han³

et al. 2013

Int. J. Morphol.

View full text Add to dashboard Cite

show abstract

“…Ureteropelvic junction obstruction and calculus disease contributed about 40% cases each, while nearly 10% were due to tuberculosis. The authors reported a conversion rate of 5% with a mean operative time of 85 min and a less than 1% transfusion rate [33].…”

Section: Benign Conditionsmentioning

confidence: 96%

Retroperitoneal renal laparoscopy

Kumar

Hemal

2010

Int Urol Nephrol

Self Cite

View full text Add to dashboard Cite

The retroperitoneal laparoscopic approach to the kidney offers a minimally invasive access that mimics the open surgical techniques of renal surgery. It allows renal surgery without violation of the peritoneal cavity with its attendant complications such as bowel injury and ileus. Over the last two decades, all renal surgery has been shown to be feasible through this technique. This includes complicated procedures such as a donor nephrectomy and radical nephroureterectomy for upper tract transitional cell cancers. We began performing retroperitoneoscopic renal surgery in the early 1990s and have developed a number of modifications to existing techniques so as to make this surgery easy and cost effective. In this review, we discuss the evolution of retroperitoneoscopic renal surgery, the indications, techniques and outcome of all types of retroperitoneoscopic renal surgery.

show abstract

“…In patients with minimal inflammation and kidneys that are not exceptionally large, the preferred approach is to directly access the renal vessels; the renal artery is first to be encountered. 10 Once the renal artery is visualized, we place an extra-large Hem-o-lok clip before further dissection. This step helps to decrease bleeding while further dissection is performed.…”

Section: Technique Of Retroperitoneal Laparoscopic Nephrectomy (Rpn) mentioning

confidence: 99%

Laparoscopic Retroperitoneal Extirpative and Reconstructive Renal Surgery

Hemal

2011

Journal of Endourology

Self Cite

View full text Add to dashboard Cite

Retroperitoneal laparoscopy for renal surgery is a viable and versatile alternative to transperitoneal access. Location of the kidneys in the retroperitoneum makes it an attractive approach. The development of both approaches paralleled during the last two decades; however, retroperitoneal laparoscopy witnessed a steep learning curve because of the constraint of working space, lack of obvious landmarks, and appropriate instrumentations. This approach has several advantages and is currently being used for extirpative and reconstructive procedures for various renal pathologic conditions. After creation of retroperitoneal space, the techniques can be tailored to the desired indication for successful culmination. The learning curve can be shortened by adequate training; subsequently, with experience, this can be used proficiently.

show abstract

Outcome of Retroperitoneoscopic Nephrectomy for Benign Nonfunctioning Kidney: A Single-Center Experience

Abstract: Retroperitoneoscopic nephrectomy, although technically challenging, is becoming a gold standard for patients with nonfunctioning kidneys caused by benign conditions.

Cited by 25 publications

References 21 publications

Study and Clinical Application of the Anatomy of Renal Pedicles in Retroperitoneoscopic Nephrectomy

Study and Clinical Application of the Anatomy of Renal Pedicles in Retroperitoneoscopic Nephrectomy

Retroperitoneal renal laparoscopy

Laparoscopic Retroperitoneal Extirpative and Reconstructive Renal Surgery

Contact Info

Product

Resources

About