BJUI compass · 2025
Modified technique for dissection of working space in retroperitoneal laparoscopic surgery: A step-by-step guide.
СтатьяНазвание и аннотация: Перевод в очереди
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Xu Xiaofeng, Chen Yuhao, Shi Xiuquan, Liu Zhe, Shi Changjie, Cheng Wen, Ge Jingping
Аннотация
OBJECTIVES: This work aims to describe with a step-by-step guide for modified dissection technique to create a retroperitoneal working space during laparoscopic surgery.
MATERIALS AND METHODS: From May 2021 to December 2022, we performed a modified dissection technique to create a retroperitoneal working space prior retroperitoneal laparoscopic surgery in 47 patients. The retroperitoneum is initially accessed by puncturing the trocar through a 10-mm transverse skin incision in the midaxillary line. Under endoscopic monitoring, the tip of the trocar is adjusted to a relative avascular layer between the transversus abdominis muscle and the pararenal fat. Laparoscopic dissection is performed to develop until the working space is fully established.
RESULTS: In all cases, a satisfactory retroperitoneal space was created for surgery. No dissection-related complications were noted within a median follow-up period of 9 (IQR:7,15) months.
CONCLUSIONS: Modified retroperitoneal dissection with laparoscopy is a safe, simple, effective, and minimally invasive technique. It provides an adequate working space and an excellent view without obvious bleeding.
MATERIALS AND METHODS: From May 2021 to December 2022, we performed a modified dissection technique to create a retroperitoneal working space prior retroperitoneal laparoscopic surgery in 47 patients. The retroperitoneum is initially accessed by puncturing the trocar through a 10-mm transverse skin incision in the midaxillary line. Under endoscopic monitoring, the tip of the trocar is adjusted to a relative avascular layer between the transversus abdominis muscle and the pararenal fat. Laparoscopic dissection is performed to develop until the working space is fully established.
RESULTS: In all cases, a satisfactory retroperitoneal space was created for surgery. No dissection-related complications were noted within a median follow-up period of 9 (IQR:7,15) months.
CONCLUSIONS: Modified retroperitoneal dissection with laparoscopy is a safe, simple, effective, and minimally invasive technique. It provides an adequate working space and an excellent view without obvious bleeding.