Archivos Españoles de Urología (Ed. impresa)
versión impresa ISSN 0004-0614
SANTINELLI, Flavio; MIAS, Fernando y MANDULEY, Alejandro. Lumboscopy: Initial experience with the Berazategui's technique. Firts 600 cases. Arch. Esp. Urol. [online]. 2007, vol.60, n.3, pp.279-286. ISSN 0004-0614.
Objectives: To show the lumboscopy technique developed in our department, our case series and its results. Methods: From August 15th 1997 to date 606 patients were 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 flow insufflator, 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 adequate surgical space and requires the anatomical knowledge to be able to identify landmarks.
Palabras clave : Lumboscopy; Retroperitoneoscopy; Retroperitoneal space.