Retroperitoneal Laparoscopic Nephrectomy for Acute Blunt Grade 4 Renal Injuries

Wang, Wenying; Wang, Li; Xu, Jianfeng; Adams, Tamara S.; Tian, Ye

doi:10.1089/lap.2014.0006

Cited by 5 publications

(16 citation statements)

References 16 publications

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“…Design of included studies: 3 articles were case reports and 1 was a case series. [11][12][13][14] Region of study origin: Included studies were conducted in Australia, Italy, India and China. [11][12][13][14]…”

Section: Resultsmentioning

confidence: 99%

The emerging role of laparoscopic nephrectomy in the operative management of renal trauma: is less really more?

et al. 2021

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The role of laparoscopic nephrectomy (LN) is well established in the operative armamentarium of renal surgery and has also extended to the resection of benign and malignant renal neoplasms. Despite growing evidence advocating conservative management of renal trauma, the role of LN in the management of renal trauma is not well defined. Thus, a systematic review was conducted to better define the role of LN in the subgroup of renal trauma patients requiring operative nephrectomy. In accordance with the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines, a comprehensive literature search was performed (March 2020), using the following databases: Cochrane library of systematic reviews, EMBASE, PubMed, Scopus, and web of science. Included studies were further assessed for relevance and quality using the Oxford 2010 critical appraisal skills program (CASP). A total of 620 studies were identified, non-relevant and non-English articles were excluded which resulted in 4 relevant articles being included. Due to a relative lack of data, case reports and case series were also included. The role of LN is a viable option in a select group of cases when operative intervention is already planned for advanced renal injury. The special considerations and relative contraindications to laparoscopy must be adhered to when selecting this modality in the setting of renal trauma. Future prospective studies are required to better define this relationship.

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Section: Resultsmentioning

confidence: 99%

The emerging role of laparoscopic nephrectomy in the operative management of renal trauma: is less really more?

et al. 2021

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“…reported for the first time LN (retroperitoneoscopic) following acute renal trauma within 24 h of trauma after failed embolisation. [2]…”

Section: Discussionmentioning

confidence: 99%

“…Wang et al themselves reported haematoma rupture before arterial control in one out of two cases. [2] Further, a large haematoma will not allow retroperitoneoscopic approach. Assessment of diaphragmatic injury will be easier in transperitoneal approach.…”

Section: Discussionmentioning

confidence: 99%

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Transperitoneal laparoscopic nephrectomy in acute Grade 4 renal trauma with literature review and a note on some unusual complications

et al. 2017

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Most renal traumas are successfully managed conservatively. Grade 4 and 5 trauma, however, can require nephrectomy which is almost always by laparotomy and laparoscopic nephrectomy (LN) is still considered contraindicated in acute trauma setting. We report successful transperitoneal LN in an acute grade 4 renal trauma with retroperitoneal haematoma, extensive parenchymal devascularisation and urinary extravasation though retroperitoneoscopic nephrectomy in trauma has been reported recently. However, we believe transperitoneal approach is more logical and replicates all the principles of open renal trauma surgery more accurately. A review of LN in renal trauma and some unusual problems to be anticipated during laparoscopic procedures in acute trauma setting is presented.

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“…Доступ в поясничной области подходит только для плановой урологической ситуации. Появилось пер-вое сообщение о лапароскопической нефрэктомии при травме почки у 3 пострадавших [106].…”

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Blunt abdominal trauma. Kidneys injury. Part 3

2016

Khir. Z. im. N.I. Pirogova

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Retroperitoneal Laparoscopic Nephrectomy for Acute Blunt Grade 4 Renal Injuries

Cited by 5 publications

References 16 publications

The emerging role of laparoscopic nephrectomy in the operative management of renal trauma: is less really more?

The emerging role of laparoscopic nephrectomy in the operative management of renal trauma: is less really more?

Transperitoneal laparoscopic nephrectomy in acute Grade 4 renal trauma with literature review and a note on some unusual complications

Blunt abdominal trauma. Kidneys injury. Part 3

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