Naslov
Retroperitoneoscopic ureterocutanostomy-our method of creating a pneumoperitoneum

Autori
Radović, Nikola ; Popović, Drago ; Špišić, D. ; Hrmić, Ivan

Izvornik
Minimally invasive therapy & allied technologies (1364-5706) 7 (1998), 3; 247-250

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
laparoscopy; retroperitoneoscopy; pneumoretroperitoneum; ureterocutanostomy; endoscopy; obstructive uropathy

Sažetak
Retroperitoneoscopic procedures were already being performed in the late 1970s. The clinical breakthrough of retroperitoneoscopy, however, came in 1992 with baloon-dissecting technique of Gaur, facilitated by the experience gained with transperitoneal laparoscopic procedures in the upper retroperitoneum. A 60 year old women with infiltrative bladder cancer and right-sided obstructive uropathy was a high risk patient for an open surgical operation. Until now, our retroperitoneoscopic procedures were usually performed by hydraulic video-optically controlled balloon dissection. With this patient, for the first time we created a pneumoperitoneum using an optical trocar-Visiport. In the way we entered the retroperitoneum by visualising all layers of the abdominal wall. Once inside the retroperitoneum we created a work space by blunt and sharp dissection under optical control, avoiding blood vessels. The ureter was spatulated and stented, and ureterocutanostomy was performed in the same way as in open surgery.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA