Laparoscopic radical nephrectomy: Retroperitoneal versus transperitoneal approach

被引:13
作者
Matin S.F. [1 ]
Gill I.S. [1 ]
机构
[1] Section of Laparoscopic and Minimally Invasive Surgery, Urological Institute, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, 44195, OH
关键词
Laparoscopic Nephrectomy; Port Site Recurrence; Radical Nephrectomy; Renal Cell Carcinoma; Transperitoneal Approach;
D O I
10.1007/s11934-002-0030-7
中图分类号
学科分类号
摘要
Laparoscopic radical nephrectomy can be efficaciously performed by either the transperitoneal or the retroperitoneal laparoscopic approach. The primary indication for selecting one approach over another has historically depended on the individual surgeon’s experience and training. With either technique, laparoscopy adheres to established surgical oncologic principles of wide specimen mobilization and early vascular control. This article reviews the history, contraindications, anatomic considerations, patient preparation, and surgical technique of these two laparoscopic approaches. A salient summary of the worldwide experience with these procedures is presented, as well as a brief synopsis of controversial arguments favoring specimen morcellation versus intact extraction. © 2002, Current Science Inc.
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收藏
页码:164 / 171
页数:7
相关论文
共 26 条
[1]  
Clayman R.V., Kavoussi L.R., Soper N.J., Et al., Laparoscopic nephrectomy: initial case report, J Urol, 146, pp. 278-282, (1991)
[2]  
Bartel M., Retroperitonescopy. An endoscopic method for inspection and bioptic examination of the retroperitoneal space [in German], Zentralbl Chir, 94, pp. 377-383, (1969)
[3]  
Gaur D.D., Agarwal D.K., Purohit K.C., Retroperitoneal laparoscopic nephrectomy: initial case report, J Urol, 149, pp. 103-105, (1993)
[4]  
Ono Y., Katoh N., Kinukawa T., Et al., Laparoscopic radical nephrectomy: the Nagoya experience, J Urol, 158, pp. 719-723, (1997)
[5]  
Gill I.S., Clayman R.V., Albala D.M., Et al., Retroperitoneal and pelvic extraperitoneal laparoscopy: an international perspective, Urology, 52, pp. 566-571, (1998)
[6]  
Fazeli-Matin S., Gill I.S., Hsu T.H., Et al., Laparoscopic renal and adrenal surgery in obese patients: comparison to open surgery, J Urol, 162, pp. 665-669, (1999)
[7]  
Chiu A.W., Chen K.K., Wang J.H., Et al., Direct needle insufflation for pneumoperitoneum: anatomic confirmation and clinical experience, Urology, 46, (1995)
[8]  
Capelouto C.C., Moore R.G., Silverman S.G., Kavoussi L.R., Retroperitoneoscopy: anatomical rationale for direct retroperitoneal access, J Urol, 152, (1994)
[9]  
Matin S.F., Novick A.C., Renal dysfunction associated with staged bilateral partial nephrectomy: the importance of operative positioning, J Urol, 165, pp. 880-881, (2001)
[10]  
Yokoyama M., Ueda W., Hirakawa M., Haemodynamic effects of the lateral decubitus position and the kidney rest lateral decubitus position during anesthesia, Br J Anaesth, 84, (2000)