title: Two-glove-finger-balloon dissection of retroperitoneal space for laparoscopic urology.
abstract: BACKGROUND
  We present our experience in retroperitoneal interventions with 2 catheter mounted glove fingers through 2 access points.
  
  
  METHODS
  Patients were placed in the lateral decubitus position, and the retroperitoneum was accessed by blunt dissection through a 10-mm transverse skin incision on the posterior axillary line. Another incision was performed through the anterior axillary line, and the surgeon inserted his finger to dissect the muscle layers in the retroperitoneum to develop an initial space to place the glove finger balloon, which was attached to a 14-F Nelaton catheter.
  
  
  RESULTS
  This technique was performed on 32 patients. The mean operation time was 57.4 +/- 26.7 minutes. A satisfactory retroperitoneal space for the operation was provided and both balloons inflated to 500 mL. No complications were observed.
  
  
  CONCLUSIONS
  Retroperitoneal laparoscopy using 2 balloons is a safe, cheap, effective minimally invasive procedure, and we believe that the technique described above both decreases both the operation time and cost.
authors.affiliation: Department of Urology, Gulhane School of Medicine, Ankara, Turkey.
authors.forename: Yasar
authors.initials: Y
authors.lastname: Ozgok
authors.forename: Mete
authors.initials: M
authors.lastname: Kilciler
authors.forename: Mustafa Okan
authors.initials: MO
authors.lastname: Istanbulluoglu
authors.forename: Mesut
authors.initials: M
authors.lastname: Piskin
authors.forename: Selahattin
authors.initials: S
authors.lastname: Bedir
authors.forename: Seref
authors.initials: S
authors.lastname: Basal
mesh_terms: D000328:Adult; D000368:Aged; D002404:Catheterization; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D012187:Retroperitoneal Space / Q000601:surgery*