de Cannière L, Michel L A, Lorge F, Rosière A, Vandenbossche P
Surgical Service, University of Louvain Medical School, Mont-Godinne University Hospital, Yvoir, Belgium.
Eur J Surg. 1997 May;163(5):339-44.
Assessment of the videoscopic approach to the retroperitoneal space in the vicinity of the kidney and the adrenal gland.
Open study.
University hospital, Belgium.
10 patients who underwent 11 operations (adrenalectomy, n = 3, nephrectomy, n = 5, partial nephrectomy, n = 2, and renal cystectomy, n = 1).
Direct CO2 insufflation of the retroperitoneal space in order to obtain a convenient retroperitoneal working space for renal and adrenal surgery.
Feasibility, morbidity and mortality.
8 patients were operated on exclusively by the retroperitoneoscopic approach; 2 required the retroperitoneal and transperitoneal routes to be combined to complete an adrenalectomy. No patients required blood transfusion and no patient died. Median postoperative stay was 3 days.
The CO2 insufflation technique of the retroperitoneum is safe and reproducible. Nevertheless, far from excluding each other, both approaches-laparoscopic and retroperitoneoscopic-are complementary in difficult cases, particularly for adrenal endoscopic surgery and for larger renal lesions.
评估经视频镜检查进入肾和肾上腺附近腹膜后间隙的方法。
开放性研究。
比利时大学医院。
10例患者接受了11次手术（肾上腺切除术3例、肾切除术5例、部分肾切除术2例、肾囊肿切除术1例）。
直接向腹膜后间隙注入二氧化碳，以获得便于进行肾和肾上腺手术的腹膜后工作空间。
可行性、发病率和死亡率。
8例患者仅通过后腹腔镜手术完成；2例患者需要联合经腹膜后和经腹腔途径完成肾上腺切除术。无患者需要输血，也无患者死亡。术后中位住院时间为3天。
腹膜后二氧化碳注入技术安全且可重复。然而，腹腔镜和后腹腔镜这两种方法远非相互排斥，在困难病例中，尤其是肾上腺内镜手术和较大的肾脏病变中，二者互为补充。
