title: Lateroconal fascia suspension for management of peritoneal tear and "curtain" effect during retroperitoneal laparoscopic operations.
abstract: OBJECTIVE
  To describe the method of lateroconal fascia suspension for the management of peritoneal tear and curtain effect during retroperitoneal laparoscopic operations.
  
  
  METHODS
  Between May 2013 and October 2014, we performed lateroconal fascia suspension in 30 cases of retroperitoneal laparoscopic operations. Peritoneal tear occurred and retroperitoneal space collapsed in 18 cases of them during the operation, and free edge of the lateroconal fascia caused curtain effect and sheltered the field of view in another 12 cases after the lateroconal fascia was incised longitudinally.
  
  
  RESULTS
  The curtain effect of lateroconal fascia was eliminated successfully, and the sheltered field of view got normal in all the 12 cases. The collapsed retroperitoneal space due to peritoneal tear got enlarged effectively and was sufficient for the following operations in 15 patients of the overall 18 cases, while the collapsed retroperitoneal space did not get enlarged significantly in the other three cases. After the insertion of an extra 5-mm trocar into peritoneal space, the collapsed retroperitoneal space got enlarged eventually. Finally, retroperitoneal laparoscopic operations were continued and completed successfully in all these 30 patients. It took 4 min to complete the suspension procedure, and no related complications occurred during the whole suspension process.
  
  
  CONCLUSIONS
  Lateroconal fascia suspension method could manage most peritoneal tears and curtain effect effectively during retroperitoneal laparoscopic operations.
authors.affiliation: Department of Urology, Chinese PLA General Hospital, Beijing, 100853, China.
authors.forename: Xiaotao
authors.initials: X
authors.lastname: Yin
authors.affiliation: Department of Urology, General Hospital of Civil Aviation of China, Beijing, 100123, China.
authors.forename: Liang
authors.initials: L
authors.lastname: Cui
authors.affiliation: Department of Urology, Chinese PLA General Hospital, Beijing, 100853, China.
authors.forename: Fanglong
authors.initials: F
authors.lastname: Li
authors.affiliation: Department of Urology, Chinese PLA General Hospital, Beijing, 100853, China.
authors.forename: Siyong
authors.initials: S
authors.lastname: Qi
authors.affiliation: Department of Urology, Chinese PLA General Hospital, Beijing, 100853, China.
authors.forename: Zhaoyang
authors.initials: Z
authors.lastname: Yin
authors.affiliation: Department of Urology, The First Affiliated Hospital of PLA General Hospital, No. 52 Fuxing Rd, Haidian District, Beijing, 100048, China. j_p_gao@126.com.
authors.forename: Jiangping
authors.initials: J
authors.lastname: Gao
mesh_terms: D000293:Adolescent; D000310:Adrenal Gland Neoplasms / Q000601:surgery; D000315:Adrenalectomy / Q000009:adverse effects* / Q000379:methods; D000328:Adult; D000368:Aged; D002648:Child; D000071938:Fasciotomy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects* / Q000379:methods; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000009:adverse effects*; D010537:Peritoneum / Q000293:injuries*; D011183:Postoperative Complications / Q000517:prevention & control*; D012187:Retroperitoneal Space / Q000601:surgery*; D012189:Retrospective Studies; D012421:Rupture; D055815:Young Adult
keywords: Laparoscopy; Peritoneal tear; Retroperitoneal space