Retroperitoneal and pelvic extraperitoneal laparoscopy: an international perspective.

Authors

• I S Gill
• R V Clayman
• D M Albala
• Y Aso
• A W Chiu
• S Das
• J F Donovan
• G J Fuchs
• D D Gaur
• H Go
• L G Gomella
• M T Grune
• L M Harewood
• G Janetschek
• P M Knapp
• E M McDougall
• S Y Nakada
• G M Preminger
• P Puppo
• J J Rassweiler
• P L Royce
• R Thomas
• D A Urban
• H N Winfield

Publication/Presentation Date

10-1-1998

Abstract

OBJECTIVES: To assess technical preferences and current practice trends of retroperitoneal and pelvic extraperitoneal laparoscopy.

METHODS: A questionnaire survey of 36 selected urologic laparoscopic centers worldwide was performed.

RESULTS: Twenty-four centers (67%) responded. Overall, 3988 laparoscopic procedures were reported: transperitoneal approach (n = 2945) and retroperitoneal/extraperitoneal approach (n = 1043). Retroperitoneoscopic/extraperitoneoscopic procedures included adrenalectomy (n = 74), nephrectomy (n = 299), ureteral procedures (n = 166), pelvic lymph node dissection (n = 197), bladder neck suspension (n = 210), varix ligation (n = 91), and lumbar sympathectomy (n = 6). Mean number of total laparoscopic procedures performed in 1995 per center was 41 (range 5 to 86). Major complications occurred in 49 (4.7%) patients and included visceral complications in 26 (2.5%) patients and vascular complications in 23 (2.2%). Open conversion was performed in 69 (6.6%) patients, electively in 41 and emergently in 28 (visceral injuries, n = 16; vascular injuries, n = 1 2). Retroperitoneoscopy/extraperitoneoscopy is gaining in acceptance worldwide: in 1993, the mean estimated ratio of transperitoneal laparoscopic cases versus retroperitoneoscopic/ extraperitoneoscopic cases per center was 74:26; however, in 1996 the ratio was 49:51.

CONCLUSIONS: Retroperitoneoscopy and pelvic extraperitoneoscopy are important adjuncts to the laparoscopic armamentarium in urologic surgery. The overall major complication rate associated with retroperitoneoscopy/extraperitoneoscopy was 4.7%.

Volume

52

Issue

4

First Page

566

Last Page

571

ISSN

0090-4295

Published In/Presented At

Gill, I. S., Clayman, R. V., Albala, D. M., Aso, Y., Chiu, A. W., Das, S., Donovan, J. F., Fuchs, G. J., Gaur, D. D., Go, H., Gomella, L. G., Grune, M. T., Harewood, L. M., Janetschek, G., Knapp, P. M., McDougall, E. M., Nakada, S. Y., Preminger, G. M., Puppo, P., Rassweiler, J. J., … Winfield, H. N. (1998). Retroperitoneal and pelvic extraperitoneal laparoscopy: an international perspective. Urology, 52(4), 566–571. https://doi.org/10.1016/s0090-4295(98)00314-8

Disciplines

Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods

PubMedID

9763072

Department(s)

Administration and Leadership

Document Type

Article