Effect of auxiliary trocar on obese patients treated with retroperitoneoscopic radical nephrectomy
10.3760/cma.j.issn.1000-6702.2012.03.006
- VernacularTitle:肥胖患者后腹腔镜下根治性肾切除术中辅助性套管的应用体会
- Author:
Xuhui ZHANG
;
Dongwen WANG
;
Xiaoming CAO
;
Xueming LIN
- Publication Type:Journal Article
- Keywords:
Renal cell carcinoma;
Retroperitoneoscopy;
Radical nephrectomy;
Obesity
- From:
Chinese Journal of Urology
2012;33(3):185-187
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of auxiliary trocar located on various positions on obese patients treated with retroperitoneoscopic radical nephrectomy.MethodsRetrospective analysis was performed for 61 consecutive obese patients who underwent retroperitoneoscopic radical nephrectomy for localized renal cell carcinoma at our institution from March 2004 to December 2010.An auxiliary trocar was placed into retroperitoneal space according to the position of tumor.It was placed infro-costal magin in the mid-axillary line with uppre-median pole tumor,and 4 cm medial to mid-axillary line and 1 cm cephalad to illac spine with lower-median pole,respectively.ResultsAll 61 patients were completed successfully with no conversion to open surgery.Mean operating time was ( 153.1 ± 23.5 ) min.Mean estimated blood loss was (57.6 ±29.7) ml.Mean hospital stay after operation was (5.7 ±2.6) d.The rupture of peritoneum and liquefaction of fat were occurred in 5 and 4 patients respectively.There was no major intraoperative and postoperative complications occurred.Conclusions Reasonable position of the auxiliary trocar according to the tumor's location would be safe and feasible on obese patients treated with retroperitoneoscopic radical nephrectomy.Obese patients with localized renal cell carcinoma would better benefit from minimally invasive procedure.
