ADHESION FORMATION AFTER TRANSPERITONEAL NEPHRECTOMY - LAPAROSCOPIC V OPEN APPROACH

被引：33

作者：

MOORE, RG ^{[1
]}

PARTIN, AW ^{[1
]}

ADAMS, JB ^{[1
]}

KAVOUSSI, LR ^{[1
]}

机构：

[1] JOHNS HOPKINS UNIV,JAMES BUCHANAN BRADY UROL INST,BALTIMORE,MD

来源：

JOURNAL OF ENDOUROLOGY | 1995年 / 9卷 / 03期

关键词：

D O I：

10.1089/end.1995.9.277

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

The risk of postoperative adhesion formation is a significant concern with transperitoneal laparoscopic surgery. To evaluate the incidence of adhesions after major interventional urologic laparoscopy, 16 pigs underwent either laparoscopic (N = 8) or transperitoneal open (N = 8) nephrectomy. Adhesions occurred at 12.5% of the operative sites in the laparoscopic group compared with 75% of the operative sites of the open group. Adhesions were present along the incision site in all the pigs in the open group compared with 5 of 40 (12.5%) trocar sites in the laparoscopic group. Adhesion number, grade, and extent were significantly greater in the open group than the laparoscopic group for both nephrectomy and access (incision/trocar) sites (p < 0.05). Transperitoneal laparoscopic urologic surgery in the porcine model results in a marked decrease in adhesion formation compared with incisional transabdominal surgery.

引用

页码：277 / 280

页数：4

共 31 条

[1] Kavoussi L.R., Kerbl K., Capelouto C.C., McDougal E.M., Clayman R.V., Laparoscopic nephrectomy for renal neoplasms, Urology, 42, (1993)
[2] Parra R.O., Andrus C., Boullier J., Staging laparoscopic pelvic lymph node dissection: comparison of results with open pelvic lym-phadenectomy, J Urol, 147, (1992)
[3] Winfield H.N., See W.A., Donovan J.F., Et al., Comparative effectiveness and safety of laparoscopic vs, open pelvic lymph node dissection for cancer of the prostate (abstract). J Urol, 147, (1992)
[4] Petros J.A., Chandhoke P.S., Clayman R.V., Catalona W.J., Staging pelvic laparoscopic lymphadenectomy: a comparison of laparoscopic and open techniques (abstract), J Urol, 147, (1992)
[5] Clayman R.V., Kerby K., McDougal E., Chandhoke P.S., Kavoussi L.R., Laparoscopic nephroureterectomy: a critical appraisal (abstract), J Urol, 149, (1993)
[6] Kavoussi L.R., Sosa E., Chandhoke P., Et al., Complications of laparoscopic pelvic lymph node dissection, J Urol, 149, (1993)
[7] Capelouto C.C., Kavoussi L.R., Complications of laparoscopic surgery, Urology, 42, (1993)
[8] Ray N.F., Larsen J.W., Stillman R.J., Jacobs R.J., Economic impact of hospitalization for lower abdominal adhesiolysis in the United States in 1988, Surg Gynecol Obstet, 176, (1993)
[9] Nezhat C.R., Nezhat F.R., Metzger D.A., Luciano A.A., Adhesion reformation after reproductive surgery by videolaseroscopy, Fertil Steril, 53, (1990)
[10] Surrey M.W., Friedman S., Second-look laparoscopy after reconstructive pelvic surgery for infertility, J Reprod Med, 27, (1982)

← 1 2 3 4 →