LAPAROSCOPIC OPERATIVE RETROPERITONEOSCOPY - USE OF A NEW DEVICE
LAPAROSCOPIC OPERATIVE RETROPERITONEOSCOPY - USE OF A NEW DEVICE
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DOI：
10.1016/s0022-5347(17)36842-8
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发表时间：
1992-10-01
影响因子：
6.6
通讯作者：
GAUR, DD
中科院分区：
文献类型：
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作者：
GAUR, DD
在过去，后腹腔镜检查的尝试大多失败，这是由于不能产生有效的后腹膜，因为致密的网状组织结合后腹膜中的脂肪，而仅仅通过吹入气体不能分解。新设计的气囊打破隔膜，无创地提升腹膜，并在腹膜后腔创造一个可用的空间。腹膜后结构的视图令人满意。我们用这个气囊剥离器进行了腹腔镜输尿管切开取石术、肾镜检查和肾活检、主动脉旁淋巴结活检和精索内静脉结扎。
Attempts at retroperitoneoscopy have mostly failed in the past due to the inability to create an effective pneumoretroperitoneum because of the dense areolar tissue binding the fat in the retroperitoneum, which could not be broken down merely by pneumo-insufflation. The newly devised balloon breaks the septae, lifts the peritoneum atraumatically and creates a workable space in the retroperitoneum. The view of the retroperitoneal structures provided is satisfactory. With this balloon dissector we have performed laparoscopic ureterolithotomy, renoscopy and renal biopsy, para-aortic lymph node biopsy and ligation of the internal spermatic vein.