Retroperitoneal laparoscopic access in children using a direct vision technique

S. Micali, P. Caione, G. Virgili, N. Capozza, M. Scarfini, F. Micali

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Purpose: Retroperitoneal procedures were initiated in 1992 by balloon dissection of the retroperitoneum. More recently a new type of retroperitoneal access has been obtained by directly entering the retroperitoneum using the Visiport visual trocar.* We present our initial experience with direct visual access to the retroperitoneum in the pediatric population. Materials and Methods: A total of 31 children underwent retroperitoneal laparoscopy, including renal biopsy in 22, varicocelectomy in 5, renal cyst ablation in 3 and pyelolithotomy for a staghorn stone in 1. Patients were placed in the full flank position. A maximum of 3 ports was used and the initial trocar was placed under direct vision. The laparoscope was then used to dissect bluntly a working space in the retroperitoneum. Results: All procedures were successful. Blood loss was minimal. Operative time was 4 hours for pyelolithotomy and less than I for the other procedures. Mean hospital stay was 1.5 days and all patients returned to normal activity at a mean of 6 days. Two minor complications developed. The peritoneum was inadvertently entered in 1 case, in which no further treatment was necessary and convalescence was uneventful and short. In another case severe arrhythmia developed, resulting in an aborted procedure. Conclusions: This technique is simple, safe and does not require extensive laparoscopic experience.

Original languageEnglish
Pages (from-to)1229-1232
Number of pages4
JournalJournal of Urology
Volume165
Issue number4
Publication statusPublished - 2001

Fingerprint

Surgical Instruments
Laparoscopes
Kidney
Peritoneum
Operative Time
Laparoscopy
Dissection
Cysts
Cardiac Arrhythmias
Length of Stay
Pediatrics
Biopsy
Population
Therapeutics

Keywords

  • Laparoscopy
  • Retroperitoneal space

ASJC Scopus subject areas

  • Urology

Cite this

Micali, S., Caione, P., Virgili, G., Capozza, N., Scarfini, M., & Micali, F. (2001). Retroperitoneal laparoscopic access in children using a direct vision technique. Journal of Urology, 165(4), 1229-1232.

Retroperitoneal laparoscopic access in children using a direct vision technique. / Micali, S.; Caione, P.; Virgili, G.; Capozza, N.; Scarfini, M.; Micali, F.

In: Journal of Urology, Vol. 165, No. 4, 2001, p. 1229-1232.

Research output: Contribution to journalArticle

Micali, S, Caione, P, Virgili, G, Capozza, N, Scarfini, M & Micali, F 2001, 'Retroperitoneal laparoscopic access in children using a direct vision technique', Journal of Urology, vol. 165, no. 4, pp. 1229-1232.
Micali, S. ; Caione, P. ; Virgili, G. ; Capozza, N. ; Scarfini, M. ; Micali, F. / Retroperitoneal laparoscopic access in children using a direct vision technique. In: Journal of Urology. 2001 ; Vol. 165, No. 4. pp. 1229-1232.
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