A comparative study of the retroperitoneal cavity established by the modified Hasson in urology
10.3760/cma.j.cn112139-20210706-00293
- VernacularTitle:泌尿外科后腹腔镜手术中采用改良Hasson法建立后腹腔的比较研究
- Author:
Ruimin REN
1
;
Ding MA
;
Shuai YUAN
;
Jiwen SHANG
Author Information
1. 山西白求恩医院 山西医学科学院 同济山西医院 山西医科大学第三医院泌尿外科，太原 030032
- Keywords:
Urologic surgical procedures;
Retroperitoneal space;
Laparoscopy
- From:
Chinese Journal of Surgery
2021;59(11):907-911
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To examine the safety and complications of two methods of establishing retroperitoneal cavity in urology.Methods:Totally 83 patients undergoing retroperitoneal laparoscopic surgery in Department of Urology, Shanxi Bethune Hospital from January 2020 to June 2021 were analyzed retrospectively. There were 47 males and 36 females, aged (48.3±11.3) years (range: 35 to 71 years). Forty-three cases in Hasson group(the first Trocar channel was selected at the junction of the 12 th rib and the posterior axillary line or lumbar triangle), 40 cases in modified Hasson group(the first Trocar channel is selected at 1.5 cm above the iliac crest on the mid-axillary line). The t test, χ2 test, and Fisher exact test were used to compare the surgical safety indicators and complications of the two groups of patients. Results:There was no statistical difference between the two groups in gender, age, body mass index, waist length, and height ( P>0.05). The comparison of safety indicators, included the time from skin incision to establishment of the retroperitoneal cavity and the amount of bleeding from the cavity were statistical difference between the two groups ( P<0.05). Compared to that in Hasson group, the time from skin incision to establishment of the abdominal cavity in modified Hasson group was shorter ((8.56±2.64) minutes vs. (5.32±1.36) minutes, t=6.949, P<0.01), the blood loss of establishment was less ((15.32±6.09) ml vs. (9.85±3.55) ml, t=4.951, P<0.01). In terms of complication indicators, the incidence of Trocar hernia and the number of subcutaneous emphysema in modified Hasson group were lower than that in Hasson group (20.9% (9/43) vs. 2.5% (1/40), P=0.015, 18.6% (8/43) vs. 2.5% (1/40), P=0.030). Conclusions:The modified Hasson group is a safe method of establishing retroperitoneal cavity. The technique is simple and fast. It provides urologists with a more effective and easy-to-implement option with fewer complications.
