[Nephrectomy through lumbar endoscopy. Report of 3 cases].
After a long experience with transperitoneal laparoscopic surgery of the kidney, we have incorporated the Gaur balloon technique for dissection. We report our experience of 3 nephrectomy procedures performed via lumboscopy, with the patients lying in the lumbotomy position. A 12 mm skin incision is made in the axillary midline. Blunt dissection of the muscle planes is carried out and the retroperitoneal space is explored digitally. A 16 F balloon-tipped catheter is introduced and the balloon is distended with 720 ml saline solution. The catheter is removed and a Hasson trocar with optics and 3 accessory trocars are inserted. The kidney is dissected and the elements of the vascular pedicle are clipped or stapled independently. The kidney is fragmented inside a Lapsac and removed. In our view, this procedure is easier to perform and carries less morbidity than transperitoneal laparoscopic nephrectomy.
Valdivia Uría
J G
JG
Servicio de Urología, Hospital Clínico Universitario de Zaragoza, España.
Abril Baquero
G
G
Monzón Alebesque
F
F
Valle Gerhold
J
J
Lanchares Santamaría
E
E
Timón Garía
A
A
D000328:Adult; D001415:Back; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000379:methods*
Nefrectomía a través de lumboscopia. A propósito de tres casos.