Laparoscopic nephrectomy: Retroperitoneal approach

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Abstract

Laparoscopic nephrectomy was originally described using a transperitoneal approach. However, detractors have argued that the transperitoneal approach provides a less direct approach to retroperitoneal structures, risks injury to intraperitoneal viscera, and results in a longer postoperative ileus. With the development of a variety of dissecting balloons, retroperitoneal laparoscopic nephrectomy has been demonstrated to be safe and efficacious; in particular, small, benign kidneys may be best suited to the retroperitoneal approach. A variety of centers have reported excellent results using this approach.

Original languageEnglish (US)
Pages (from-to)75-83
Number of pages9
JournalSeminars in Laparoscopic Surgery
Volume3
Issue number2
StatePublished - Dec 1 1996

Keywords

  • Dissecting balloon
  • Laparoscopy
  • Nephrectomy
  • Retroperitoneoscopy

ASJC Scopus subject areas

  • Surgery

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