Retroperitoneoscopic urologic surgery : The Way I Do It


Kirkali Z.

British Journal of Urology, vol.80, pp.373, 1997 (SCI-Expanded) identifier

  • Publication Type: Article / Article
  • Volume: 80
  • Publication Date: 1997
  • Journal Name: British Journal of Urology
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.373
  • Dokuz Eylül University Affiliated: Yes

Abstract

Minimal invasive surgery is widely used in urology. Many operations now can be performed by percutaneous, laparoscopic or retroperitoneoscopic routes In my philosophy, retroperitoneoscopic surgery is the best alternative to open surgery for various ablative and reconstructive procedures. While adrenalectomy and nephrectomy can be easily performed by retroperitoneoscopy, stone, surgery is also possible with this technique. It provides a direct access to the urological organs that are situated in the retroperitoneum In this video presentation, my technique of retroperitoneoscopy is presented using only 3 ports The patient is placed in the flank position A one cm incision is made at the subcostal area at the mid-clavicular line After baloon dilation of the retropentoneum is achieved, two other ports are placed Two 10 mm and one 5 mm ports have been enough to perform venous urologic operations retropentoneoscopically. Providing a direct access and the best cosmetic results, retroperitoneoscopic surgery with this technique has been successful in more than 20 operations we had performed in the last 2 years.