Technical aspects and access devices for preperitoneal and retroperitoneal endoscopic surgery.

Details

Serval ID
serval:BIB_DF1CDB90E112
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Title
Technical aspects and access devices for preperitoneal and retroperitoneal endoscopic surgery.
Journal
Minimally invasive therapy & allied technologies
Author(s)
Vonlanthen R., Schäfer M., Krähenbühl L.
ISSN
1365-2931 (Electronic)
ISSN-L
1364-5706
Publication state
Published
Issued date
01/2001
Peer-reviewed
Oui
Volume
10
Number
1
Pages
15-22
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
The main advantages of preperitoneal and retroperitoneal endoscopic surgery over conventional laparoscopy or open surgery are the decreased risk of injury to organs and reduced postoperative adhesion formation. Exact knowledge of anatomy, as well as correct positioning of the patient, is essential for its success. While a blunt dissection technique, using either the fingers or an endoscope under pneumodissection, is preferred for preperitoneal surgery, the introduction of a balloon dissection device directly into the retroperitoneal cavity simplifies this procedure for retroperitoneoscopy. Different general surgical procedures are described for preperitoneal (hernia) and retroperitoneal (adrenalectomy, neurectomy/ sympathectomy) surgery. Urological/gynaecological procedures (kidney, tumor biopsy, lymphadenectomy) are excluded from this review. In recent years, the number of possible preperitoneal and retroperitoneal surgical procedures has increased, mainly as a result of the development of commercially-available balloon trocars and balloon-tipped trocars, which create and maintain a working space.
Pubmed
Create date
11/12/2018 12:52
Last modification date
20/08/2019 17:03
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