Modified technique for dissection of working space in retroperitoneal laparoscopic surgery: A step‐by‐step guide

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Autori principali: Xiaofeng Xu, Yuhao Chen, Xiuquan Shi, Zhe Liu, Changjie Shi, Wen Cheng, Jingping Ge
Natura: Artículo Open Access
Pubblicazione: Wiley 2025
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author Xiaofeng Xu
Yuhao Chen
Xiuquan Shi
Zhe Liu
Changjie Shi
Wen Cheng
Jingping Ge
author_facet Xiaofeng Xu
Yuhao Chen
Xiuquan Shi
Zhe Liu
Changjie Shi
Wen Cheng
Jingping Ge
Xiaofeng Xu
Yuhao Chen
Xiuquan Shi
Zhe Liu
Changjie Shi
Wen Cheng
Jingping Ge
collection Wiley Open Access
contents Modified technique for dissection of working space in retroperitoneal laparoscopic surgery: A step‐by‐step guide Xiaofeng Xu Yuhao Chen Xiuquan Shi Zhe Liu Changjie Shi Wen Cheng Jingping Ge BJUI Compass AbstractObjectivesThis work aims to describe with a step‐by‐step guide for modified dissection technique to create a retroperitoneal working space during laparoscopic surgery.Materials and MethodsFrom May 2021 to December 2022, we performed a modified dissection technique to create a retroperitoneal working space prior retroperitoneal laparoscopic surgery in 47 patients. The retroperitoneum is initially accessed by puncturing the trocar through a 10‐mm transverse skin incision in the midaxillary line. Under endoscopic monitoring, the tip of the trocar is adjusted to a relative avascular layer between the transversus abdominis muscle and the pararenal fat. Laparoscopic dissection is performed to develop until the working space is fully established.ResultsIn all cases, a satisfactory retroperitoneal space was created for surgery. No dissection‐related complications were noted within a median follow‐up period of 9 (IQR:7,15) months.ConclusionsModified retroperitoneal dissection with laparoscopy is a safe, simple, effective, and minimally invasive technique. It provides an adequate working space and an excellent view without obvious bleeding. 10.1002/bco2.70035 http://creativecommons.org/licenses/by/4.0/
doi_str_mv 10.1002/bco2.70035
format Artículo Open Access
id wiley_oa_10_1002_bco2_70035
institution Wiley Open Access
license_str_mv http://creativecommons.org/licenses/by/4.0/
publishDate 2025
publisher Wiley
record_format wiley_oa
spellingShingle Modified technique for dissection of working space in retroperitoneal laparoscopic surgery: A step‐by‐step guide
Xiaofeng Xu
Yuhao Chen
Xiuquan Shi
Zhe Liu
Changjie Shi
Wen Cheng
Jingping Ge
BJUI Compass
Modified technique for dissection of working space in retroperitoneal laparoscopic surgery: A step‐by‐step guide Xiaofeng Xu Yuhao Chen Xiuquan Shi Zhe Liu Changjie Shi Wen Cheng Jingping Ge BJUI Compass AbstractObjectivesThis work aims to describe with a step‐by‐step guide for modified dissection technique to create a retroperitoneal working space during laparoscopic surgery.Materials and MethodsFrom May 2021 to December 2022, we performed a modified dissection technique to create a retroperitoneal working space prior retroperitoneal laparoscopic surgery in 47 patients. The retroperitoneum is initially accessed by puncturing the trocar through a 10‐mm transverse skin incision in the midaxillary line. Under endoscopic monitoring, the tip of the trocar is adjusted to a relative avascular layer between the transversus abdominis muscle and the pararenal fat. Laparoscopic dissection is performed to develop until the working space is fully established.ResultsIn all cases, a satisfactory retroperitoneal space was created for surgery. No dissection‐related complications were noted within a median follow‐up period of 9 (IQR:7,15) months.ConclusionsModified retroperitoneal dissection with laparoscopy is a safe, simple, effective, and minimally invasive technique. It provides an adequate working space and an excellent view without obvious bleeding. 10.1002/bco2.70035 http://creativecommons.org/licenses/by/4.0/
title Modified technique for dissection of working space in retroperitoneal laparoscopic surgery: A step‐by‐step guide
topic BJUI Compass
url https://bjui-journals.onlinelibrary.wiley.com/doi/10.1002/bco2.70035