Our Initial Experience with Retroperitoneoscopy

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dc.contributor.authorTok, Adem
dc.contributor.authorTepeler, Abdulkadir
dc.contributor.authorAktoz, Tevfik
dc.contributor.authorKaba, Mehmet
dc.contributor.authorAkcay, Muzaffer
dc.contributor.authorBinbay, Murat
dc.contributor.authorTefekli, Ahmet Hamdi
dc.date.accessioned2024-06-12T11:13:38Z
dc.date.available2024-06-12T11:13:38Z
dc.date.issued2009
dc.departmentTrakya Üniversitesien_US
dc.description.abstractCurrent indications of retropentoneoscopy have been extended to oncologic operations and complex reconstructive procedures. We present our experience vvith retropentoneoscopy m 128 cases. Between 2003 and 2007 Pk retropentoneosopic procedures (61 nephrectomies 4 radical nephrectorny, 43 renal cyst resections, 1 heminephrectomy. 5 pyeloplasties, 7 unreterolithotomies. 2 pyelolithotomies. 3 partial nephrectomies. 1 adrenelectomy 1 nephrolithotomy) were performed in 128 patients (78 male, 50 female) with a mean age of 44.1 +/- 14.5 (range: 12-75`) years at our department. A canal was created through petit triangle, peritoneum was pushed medially try index finger and dissection of the retroperitoneal sPace was enabled by the balloon distension system. We classified 43 procedures (33%) as simple (cyst resctions), 81 (64%) as difficult (adrenalectomy, nephrectomy) and 4 (3%) as very difficult (partial nephrectomy, heminephrectomy). The mean operation time was 108 +/- 23.6 (range: 55-270) minutes depending on the difficulty of the procedure. The mean hospitalization period was 3.6 +/- 1.5 (range: 1-10) days. Major complications were not observed except vena cava inferior injury in one patient. Minor complications including fever (n=4) port-site infection (n: 3) were encountered in 5.4% (n=7). Blood transfusion was required in 4 cases. Open conversion was indicated in 3 cases due to xantagranulomatosis pyelonephritis (n=1). vena cava injury (n=1) and technical difficulties (n=1). Retroperitoneoscopy has proven to be an axcellent approach with certain advantages such as early control of renal hilurn, minimal risk of abdominal complication and feasibility in cases of previous abdominal surgery.en_US
dc.identifier.endpage158en_US
dc.identifier.issn1302-0072
dc.identifier.issn2147-2688
dc.identifier.issue4en_US
dc.identifier.startpage151en_US
dc.identifier.urihttps://hdl.handle.net/20.500.14551/23621
dc.identifier.volume47en_US
dc.identifier.wosWOS:000216704900003en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isotren_US
dc.publisherGalenos Yayinciliken_US
dc.relation.ispartofHaseki Tip Bulteni-Medical Bulletin Of Hasekien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectRetroperitoneal Spaceen_US
dc.subjectLaparoscopyen_US
dc.subjectKidneyen_US
dc.subjectUreteren_US
dc.titleOur Initial Experience with Retroperitoneoscopyen_US
dc.typeArticleen_US

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