Naslov
Our experience in laparoscopic and retroperitoneoscopic surgery

Autori
Radović, Nikola ; Popović, Drago ; Hrmić, Ivan

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
Sixth European Urological Winter Forum / Debruyne F.M.J. - Davos : URO Communications Ellen Hazenberg-Stoffer Saskia Spikers-van Kesteren, 1997, 352-352

Skup
Sixth European Urological Winter Forum

Mjesto i datum
Davos, Švicarska, 16.02.1997. - 21.02.1997

Vrsta sudjelovanja
Predavanje

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
laparoscopy; pelvic lymphadenectomy; prostae cancer; renal cyst

Sažetak
Videotape emphazises practical aspects of laparoscopic pelvic lymphadenectomy by prostatae cancer. 67-year old patient with patohistologicaly proved prostate carcinoma was candidate for radical prostatectomy. Insertion of four troacars on typical positions, establishment of the pneumoperitoneum, intraabdominal anatomy and intraoperative techniques is presented. The initial peritoneum incision, with scissors is made at the level of the superior pubic ramus. The vas deferens lying in the retroperitoneal fat is transected. The next important landmark is identification of the external iliac artery and vein. Finaly the obturator nerve defines the posterior limit of the dissection. The obturator fossa can be cleared of nodes, we did not preform open surgery operation. The second operation which will be shown is marsupialisation of 9 cm large cyst on the upper pole of the left kidney by retroperitoneoscopic approach. The patient is placed in typical kidney position and a 12mm incision is made just above the iliac crest in the mid axillary space of the muscle-free triangle. Hydraulic baloon dissection with 500ccm saline solution is performed. Under the visual control, 10mm troacar in the lumbar angle and 5 mm troacar in the anterior axillary line subcostaly are inserted. The cyst was resected and fulguration of the edge of the resected cystic wall was performed. In both operations endoscopic instruments which have been deesinfected for twenty minutes in Gigasept FF 10 )PLiva-Zagreb).

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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