3,961 results match your criteria retroperitoneal laparoscopic


Original Dissecting Balloon for Retroperitoneal Laparoscopy: A Cost-Effective Alternative to the Commercially Available Device.

J Endourol 2021 May 6. Epub 2021 May 6.

Department of Urology, Vita-Salute University, San Raffaele Hospital-Turro, Milan, Italy.

Optimal retroperitoneal space creation is of pivotal importance in laparoscopic retroperitoneal surgery. The aim of this study is to report the balloon dissecting technique developed at our institution, comparing the costs of such device with that of the commercially available balloon retroperitoneal expanders. Twenty patients, scheduled to undergo retroperitoneoscopic surgery, were randomly divided into two groups. Read More

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Retroperitoneal liposarcoma mimicking pheochromocytoma.

Radiol Case Rep 2021 Jun 15;16(6):1493-1498. Epub 2021 Apr 15.

Department of Clinical Surgical Sciences, The University of the West Indies, St Augustine Campus, Trinidad, West Indies.

Retroperitoneal liposarcomas are rare mesenchymal tumors which carry a poor prognosis because of their late presentation. When symptoms do occur, they are usually nonspecific and related to mass effect or invasion of local structures. Rarely, retroperitoneal liposarcomas can clinically and biochemically mimic phaeochromocytomas. Read More

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Assessment of retroperitoneal lymph node status in locally advanced cervical cancer.

BMC Cancer 2021 May 1;21(1):484. Epub 2021 May 1.

Department of Gynecology, Hunan Maternal and Child Health Hospital, Changsha, Hunan, China.

Background: The assessment of retroperitoneal lymph node status in patients with locally advanced cervical cancer is still a problem. This study aimed to explore the choice of these assessment methods.

Methods: Laparoscopic retroperitoneal lymphadenectomy was performed in 96 patients with advanced cervical cancer. Read More

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Predicting operation time and creating a difficulty scoring system in donor nephrectomy.

J Endourol 2021 Apr 29. Epub 2021 Apr 29.

Kyushu University, 12923, Department of Surgery and Oncology, Graduate School of Medical Sciences, Fukuoka, Japan;

Background: To determine predictive formulas for operation time and surgical difficulty in laparoscopic living-donor kidney transplantation.

Methods: We retrospectively analyzed data for 222 living donors aged > 20 years and recorded factors affecting operation time from patients' computed tomography images and medical records. We used the factors significantly affecting operation time to create a formula to predict operation time and designed a model to predict surgical difficulty based on the standardized partial regression coefficient, β. Read More

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Anatomical framework for pre-operative planning of laparoscopic left-sided colorectal surgery: Potential relevance of the distance between the inferior mesenteric artery and inferior mesenteric vein.

Ann Anat 2021 Apr 24;237:151743. Epub 2021 Apr 24.

Department of Dermatology, University Hospital of Lübeck, Ratzeburger Allee 160, D-23562 Lübeck, Germany; Dermatological Sciences, University of Manchester, Oxford Road, Manchester, UK.

Background: The medial-to-lateral approach is favored by most colorectal surgeons for laparoscopic retroperitoneal dissection and mobilisation of the left colon. The peritoneal access window, i.e. Read More

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Adrenal cavernous hemangioma misdiagnosed as pheochromocytoma: a case report.

BMC Surg 2021 Apr 26;21(1):210. Epub 2021 Apr 26.

Department of Urology, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, 321000, China.

Background: Adrenal hemangioma is a rare benign adrenal tumor that is usually misdiagnosed preoperatively. We here present a case of adrenal cavernous hemangioma that was successfully treated with retroperitoneal laparoscopic adrenalectomy.

Case Presentation: A 67-year-old man with dull right back pain attended our clinic for examination of a mass on the right adrenal gland for 1 week. Read More

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Living-Donor Kidney Transplantation With Laparoscopic Nephrectomy From a Donor With Horseshoe Kidney: A Case Report.

Transplant Proc 2021 Apr 20. Epub 2021 Apr 20.

Department of Surgery, Japan Community Health Care Organization Sendai Hospital, Sendai, Miyagi, Japan.

Background: In living-donor kidney transplantation, laparoscopic nephrectomy from a donor has become widespread. However, more careful treatment is required for nephrectomy from a donor with horseshoe kidney. This report presents an interesting surgical case of laparoscopic nephrectomy from a donor with horseshoe kidney. Read More

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Application of the indocyanine green fluorescence imaging method in laparoscopic resection of a solitary retroperitoneal metastasis of renal cell carcinoma: A case report.

Asian J Endosc Surg 2021 Apr 23. Epub 2021 Apr 23.

Department of Urology, Shiga University of Medical Science, Ōtsu, Japan.

Fluorescence image-guided surgery has improved intraoperative identification of anatomic structures including visualization of vascular anatomy. Herein, indocyanine green (ICG) fluorescence imaging was applied to identify of a recurrent small tumor of renal cell carcinoma (RCC) during laparoscopic surgery. The patient underwent left laparoscopic radical nephrectomy via the retroperitoneal approach for RCC (clear cell carcinoma, pT1bN0M0) at the age of 39 years. Read More

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Laparoscopic distal pancreatectomy for pancreatic arteriovenous malformation complicated with portal hypertension.

J Minim Access Surg 2021 Mar 30. Epub 2021 Mar 30.

Department of Gastroenterological Surgery II, Faculty of Medicine, Hokkaido University, Sapporo, Japan.

Pancreatic arteriovenous malformation (PAVM) is defined as a vascular anomaly with an abnormal anastomosis of the arterial and portal networks within the pancreas. Treatment modalities of PAVM include transarterial embolisation (TAE), irradiation and operation. Most patients treated with TAE alone will experience recurrence, so surgery is the best radical treatment. Read More

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Preoperative staging of advanced ovarian cancer: comparison between ultrasound, CT and WB-DWI/MRI (ISAAC).

Ultrasound Obstet Gynecol 2021 Apr 19. Epub 2021 Apr 19.

Gynecologic Oncology Center, Department of Obstetrics and Gynecology, First Faculty of Medicine, Charles University and General University Hospital in Prague.

Objectives: To evaluate transvaginal and transabdominal ultrasound for assessment of sites of disease and prediction of non-resectability compared with the first-line staging method (CT, computed tomography) and a novel technique (WB-DWI/MRI, whole-body magnetic resonance imaging with diffusion-weighted sequence) in patients with suspected ovarian cancer.

Methods: New patients planned for ovarian cancer surgery at a Gynecologic oncology centre were enrolled. They underwent preoperative staging and prediction of non-resectability with ultrasound, CT, and WB-DWI/MRI, following a single predefined evaluation. Read More

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Laparoscopic exploration of the retroperitoneum in a gunshot victim: A case report.

Int J Surg Case Rep 2021 Apr 6;82:105863. Epub 2021 Apr 6.

Department of Surgery, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia; King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.

Introduction: Non-operative management and minimally invasive surgery reduce the burden of negative laparotomies in patients with penetrating gunshot wounds (GSW). Careful patient selection is key. Although challenging, in experienced hands laparoscopic exploration of the retroperitoneal space can be carried out. Read More

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Retroperitoneoscopic nephrectomy versus open surgery for non-tuberculous pyonephrotic nonfunctioning kidney: a single-center experience.

Transl Androl Urol 2021 Mar;10(3):1212-1221

Department of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Background: Patients with obstructive pyonephrotic nonfunctioning kidney (OPNK) often require simple nephrectomy for long-term severe clinical symptoms. We aimed to analyze the outcomes of retroperitoneal laparoscopy versus open surgery for OPNK.

Methods: The study included clinical data of 69 patients with non-tuberculous OPNK from January 2015 to June 2019 in a single center. Read More

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Comfortable suture angle with optimized trocar position aids renorrhaphy during retroperitoneal laparoscopic partial nephrectomy.

Transl Androl Urol 2021 Mar;10(3):1030-1039

Department of Urology, First Affiliated Hospital with Nanjing Medical University, Nanjing, China.

Background: This study investigated a comfortable suture angle (CSA) with optimized trocar position for closing the defect during renorrhaphy in retroperitoneal laparoscopic partial nephrectomy (LPN). The feasibility, usefulness, and safety of achieving the CSA with modified trocar position were determined for different tumor types.

Methods: Two optimized trocar positions were introduced for different tumor types. Read More

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Role of laparoscopy in the era of robotic surgery in urology in developing countries.

Indian J Urol 2021 Jan-Mar;37(1):32-41. Epub 2021 Jan 1.

Department of Urology, Renal Transplantation, Robotics and Uro-Oncology, Max Hospital, New Delhi, India.

With the rapid expansion of robotic platforms in urology, there is an urgent and unmet need to review its cost and benefits in comparison to the traditional laparoscopy, especially in reference to a developing country. A nonsystematic review of the literature was conducted to compare the outcomes of pure laparoscopic and robot-assisted urologic procedures. Available literature over the past 30 years was reviewed. Read More

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January 2021

Extraperitoneal laparoscopic pelvic lymphadenectomy for cervical cancer staging in twin pregnancy.

Int J Gynecol Cancer 2021 May 13;31(5):791-792. Epub 2021 Apr 13.

Department of Gynecologic Oncology, Hospital Israelita Albert Einstein, Sao Paulo, Sao Paulo, Brazil

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Laparoscopic treatment for renal paratransplant hernia: A case report.

Int J Surg Case Rep 2021 Apr 1;82:105849. Epub 2021 Apr 1.

Department of Surgery, Shonan Kamakura General Hospital, Kanagawa, Japan.

Introduction: There are limited reports regarding renal paratransplant hernia (RPH), which is a rare type of internal hernia. Herein, we report a case of successful laparoscopic treatment of RPH.

Presentation Of Case: A kidney transplant recipient presented to our emergency department with a 6-h history of abdominal pain and vomiting. Read More

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Perioperative morbidity of paediatric laparoscopic nephrectomy by transperitoneal and retroperitoneal approaches- any difference?

Scand J Urol 2021 Apr 7:1-5. Epub 2021 Apr 7.

Paediatric Urology, Evelina London Children's Hospital, London, UK.

Aim: Minimal invasive approaches for paediatric nephrectomy include transperitoneal (TP) and retroperitoneal (RP); both having advantages and disadvantages. We aimed to ascertain if there was any difference in perioperative morbidities between these two approaches.

Methods: We performed a retrospective review of laparoscopic TP and RP nephrectomies performed in our institution over 10 years from May 2009 till May 2019. Read More

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Management of intractable post-adrenalectomy chylous ascites with microsurgical intra-abdominal lymphaticovenous anastomosis: A case report and literature review.

Microsurgery 2021 Apr 6. Epub 2021 Apr 6.

College of Medicine, Chang Gung University, Taoyuan, Taiwan.

Postoperative chylous ascites is a rare but highly morbid complication following thoracic or abdominal surgeries. Treatment options vary according to different clinical scenarios and facility equipment, but there is no standard guideline. We report a case of 46-year-old patient with chylous ascites after left laparoscopic adrenalectomy for metastatic lung cancer. Read More

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Oncological outcome and complications of post-chemotherapy retroperitoneal surgery in non-seminomatous germ cell tumours - a systematic review.

Acta Oncol 2021 Apr 5:1-9. Epub 2021 Apr 5.

Department of Oncology, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.

Introduction: Post-chemotherapy surgery constitutes an integral part of the management of patients with non-seminomatous germ-cell tumours with a residual mass in the retroperitoneum. Published data on recurrence rates and complications to bilateral retroperitoneal lymph node dissection (RPLND), unilateral template RPLND, and resection of residual mass only according to different surgical techniques (open, laparoscopic, and robotic surgery) were reviewed.

Material And Methods: PubMed/Medline, Embase, and the Cochrane databases were searched systematically. Read More

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Comparison of mini-percutaneous nephrolithotomy and retroperitoneal laparoscopic ureterolithotomy for treatment of impacted proximal ureteral stones greater than 15 mm.

Chin Med J (Engl) 2021 Mar 31. Epub 2021 Mar 31.

Department of Urology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China.

Background: The optimal treatment for large impacted proximal ureteral stones remains controversial. The aim of this study was to evaluate the efficacy, safety, and potential complications of mini-percutaneous nephrolithotomy (MPCNL) and retroperitoneal laparoscopic ureterolithotomy (RPLU) in the treatment of impacted proximal ureteral stones with size greater than 15 mm.

Methods: A total of 268 patients with impacted proximal ureteral stones greater than 15 mm who received MPCNL or RPLU procedures were enrolled consecutively between January 2014 and January 2019. Read More

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Extra-Adrenal Retroperitoneal Myelolipoma Resected by Laparoscopy in an Asymptomatic Patient.

Case Rep Surg 2021 13;2021:8849194. Epub 2021 Mar 13.

Department of Urology at Hospital do Servidor Público Estadual (HSPE), The Medical Sciences Course, Faculty of Health Sciences, Pontifical Catholic University of São Paulo, Sorocaba, SP, Brazil.

Myelolipomas are rare benign neoplasms that commonly develop in the adrenal glands. Less frequently, they can affect other organs such as the liver, stomach, liver, lung, and retroperitoneum. It affects more women, with an average age of around 61 years. Read More

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Comparison of the Safety and Efficacy between Transperitoneal and Retroperitoneal Approach of Laparoscopic Ureterolithotomy for the Treatment of Large (>10mm) and Proximal Ureteral Stones: A Systematic Review and Meta-analysis.

Urol J 2020 Jul 30;18(1):11-18. Epub 2020 Jul 30.

Department of Urology, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China.

Purpose: We aimed to compare the safety and efficacy between laparoscopic transperitoneal ureterolithotomy (LTU) and laparoscopic retroperitoneal ureterolithotomy (LRU) in the treatment of large (>10mm) and proximal ureteral stones.

Materials And Methods: Electronic databases, including PubMed, EMBASE, Cochrane Library, Web of Science, and Scopus were searched through December 2019. Comparative studies comparing the two approaches were included. Read More

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Retroperitoneoscopic renal and adrenal specimen resection surgery in children.

Wideochir Inne Tech Maloinwazyjne 2021 Mar 15;16(1):256-263. Epub 2020 Jun 15.

Department of Urology, Shanghai Children's Medical Center, Shanghai Jiao Tong University, School of Medicine, Shanghai, China.

Introduction: The most common indication for retroperitoneoscopy in children is poorly functioning kidney, related to reflux or obstruction. Few pediatric urologists attempt to conduct a mass resection operation under retroperitoneoscopy, especially in infants with oncological diseases.

Aim: In this study, we describe our experience in a series of resection operations under retroperitoneoscopy to demonstrate its safety and efficacy in children, especially in the treatment of pediatric urology tumor. Read More

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A new and easy technique of double-J stenting after retroperitoneal laparoscopic ureterolithotomy: A discussion of other techniques.

Urol Ann 2020 Oct-Dec;12(4):309-313. Epub 2020 Aug 10.

Department of General Surgery, Minimally Invasive Surgery Unit, Nazareth Hospital, Shillong, Meghalaya, India.

Aim: To summarize a new and easy technique of double-J stent (DJ stent) placement after retroperitoneal laparoscopic ureterolithotomy (RLU).

Materials And Methods: RLU for upper and upper half of mid ureteric stones was performed successfully in 172 patients during the 8-year period between March 2011 and February 2019. In all the cases, a ureteric DJ stent was successfully placed by this new technique. Read More

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Case Report: Totally Laparoscopic Resection of Retroperitoneal Paraganglioma Masquerading as a Duodenal Gastrointestinal Stromal Tumor.

Front Surg 2021 9;8:586503. Epub 2021 Mar 9.

Department of General Surgery, Suzhou Ninth People's Hospital, Affiliated Wujiang Hospital of Nantong University, Suzhou, China.

Retroperitoneal paraganglioma (RPGL) is a rare clinical tumor derived from the retroperitoneal sympathetic paraganglion tissue. Since RPGLs are locate deeply and have no specific symptoms and imaging manifestations at the early stage, which easily causes missed diagnosis or misdiagnosis. In addition, reports on totally laparoscopic resection of RPGLs are scarce due to their close proximity to large vessels, giant size, uncertain location, and unknown malignant status. Read More

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Surgical treatment of deep endometriosis with adenomyosis externa: a challenging case in an infertile woman.

Fertil Steril 2021 Apr 6;115(4):1084-1086. Epub 2021 Mar 6.

Department of Radiology, Policlinico di Modena, University of Modena and Reggio Emilia, Modena, Italy.

Objective: To describe the management and the fertility-enhancing potential of surgery in an infertile patient with deep-infiltrating endometriosis and adenomyosis externa.

Design: Video case report.

Setting: Minimally invasive and robotic gynecologic surgery unit of a university hospital. Read More

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A rare case of a cystic renal mass with heterotopic ossification and a mini literature review.

J Xray Sci Technol 2021 Mar 15. Epub 2021 Mar 15.

Wake Forest Institute for Regenerative Medicine, Wake Forest University School of Medicine, Winston-Salem, NC, USA.

Introduction: It is a challenge to make accurate pre-surgical diagnosis for renal tumors. This study is to report the findings, management, and outcome of one rare case of ossification in a cystic renal mass. We present and discuss the pathological characteristics, radiologic features, and treatment alternatives of the patient. Read More

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Retroperitoneal laparoscopic partial resection of the renal pelvis for urothelial carcinoma: A case report.

World J Clin Cases 2021 Mar;9(8):1916-1922

Department of Urology, Dalian Municipal Central Hospital Affiliated of Dalian Medical University, Dalian 116033, Liaoning Province, China.

Background: The standard treatment of transitional cell carcinoma of the upper urinary tract consists of radical nephroureterectomy with bladder cuff removal, which can be performed either in open or laparoscopy or robot-assisted laparoscopy. Treatment of chronic renal insufficiency patients with upper urothelial tumor is in a dilemma. Urologists weigh and consider the balance between tumor control and effective renal function preservation. Read More

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Acute retroperitoneal hemorrhage after oocyte retrieval: a case report.

J Surg Case Rep 2021 Mar 13;2021(3):rjab066. Epub 2021 Mar 13.

Reproductive Medicine Center of Women and Children's Hospital affiliated to Qingdao University, Qingdao 266000, Shangdong, China.

A 29-year-old woman with a 5-year history of primary infertility underwent in vitro fertilization-embryo transfer (IVF-ET) treatment. Hemorrhagic shock caused by retroperitoneal hematoma after oocyte retrieval was treated promptly by the evaluation of diagnostic laparoscopy and angiography. The patient was recovered and discharged from the hospital 7 days later without any complications. Read More

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