Portal de Periódicos da CAPES

Lumboscopia: Experiencia con la técnica en Berazategui. Primeros 600 casos

2007; SciELO; Volume: 60; Issue: 3 Linguagem: Inglês

10.4321/s0004-06142007000300008

1576-8260

Flavio Santinelli, Fernando Mias, Alejandro Manduley,

Case Reports on Hematomas

OBJECTIVES: To show the lumboscopy technique developed in our department, our case series and its results.METHODS: From August 15th 1997 to date 606 patientswere operated on by means of the lumboscopy technique. 152 nephrectomies, 18 partial nephrectomies, 103 pyeloplasties, 5 adrenalectomies, 89 pyelolithotomies, 153 ureterolithotomies, 44 renal cyst unroofing and other 42 procedures were performed.RESULTS: We perform the retroperitoneal access in the inferior lumbar triangle, with digital blunt dissection only and direct pneumatic dissection with a high flowinsufflator, without balloon or balloon trocar dissection. We describe the development of the working space with perirenal fat flaps, as well as the various types of pathology operated and our complications.CONCLUSIONS: The working space in lumboscopy must be created by the surgeon beyond using a balloon or direct digital dissection technique. The technique we describe is easy and reproducible, creating an adequatesurgical space and requires the anatomical knowledge to be able to identify landmarks.