Comparative evaluation of surgical methods for low invasive surgical treatment of diseases of the kidneys and urinary tract
Background. The rapid development of laparoscopic surgery can significantly reduce trauma during operations in the retroperitoneal space. These goals are also achieved by retroperitoneoscopy (RPS), which has become widespread in the last twenty years. The main difficulties for surgeons were associat...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | Russian |
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Scientific Сentre for Family Health and Human Reproduction Problems
2021-11-01
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| Series: | Acta Biomedica Scientifica |
| Subjects: | |
| Online Access: | https://www.actabiomedica.ru/jour/article/view/3054 |
| _version_ | 1826853209603309568 |
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| author | O. A. Ushakova M. V. Suturin Yu. S. Lobanov A. V. Efimov G. I. Vilsky |
| author_facet | O. A. Ushakova M. V. Suturin Yu. S. Lobanov A. V. Efimov G. I. Vilsky |
| author_sort | O. A. Ushakova |
| collection | DOAJ |
| description | Background. The rapid development of laparoscopic surgery can significantly reduce trauma during operations in the retroperitoneal space. These goals are also achieved by retroperitoneoscopy (RPS), which has become widespread in the last twenty years. The main difficulties for surgeons were associated with a small workspace and a lack of clear anatomical landmarks. Different access methods have different features, advantages and disadvantages, the analysis of which helps to optimize surgical treatment and accelerate patient rehabilitation.Aim: to study the advantages and disadvantages of retroperitoneoscopic and transperitoneal laparoscopic surgical methods of treatment.Materials and methods: We analyzed 305 case histories of patients operated on for various kidney diseases. The patients were divided into 2 groups: Group 1 – patients who underwent surgery using an extraperitoneal retroperitoneoscopic approach, Group 2 – patients who used the transperitoneal laparoscopic approach. A comparison of two methods of surgical treatment of kidney diseases, retroperitoneoscopic and laparoscopic access, was carried out. The following indicators were compared: duration of surgery, length of hospital stay, need for analgesics, frequency of postoperative complications.Results. The duration of the operation with retroperitoneoscopic surgery was reduced by more than 15 % compared with the laparoscopic approach. Shorter periods of pain relief were required, and the number of complications also decreased. The duration of inpatient treatment did not differ significantly.Conclusion. Retroperitoneoscopic approach can be used as the method of choice for operations on the retroperitoneal space. |
| first_indexed | 2024-03-08T12:15:52Z |
| format | Article |
| id | doaj.art-5a4add28c6be415da35ce00a40771813 |
| institution | Directory Open Access Journal |
| issn | 2541-9420 2587-9596 |
| language | Russian |
| last_indexed | 2025-02-16T17:22:49Z |
| publishDate | 2021-11-01 |
| publisher | Scientific Сentre for Family Health and Human Reproduction Problems |
| record_format | Article |
| series | Acta Biomedica Scientifica |
| spelling | doaj.art-5a4add28c6be415da35ce00a407718132025-01-27T16:48:59ZrusScientific Сentre for Family Health and Human Reproduction ProblemsActa Biomedica Scientifica2541-94202587-95962021-11-016523023610.29413/ABS.2021-6.5.222229Comparative evaluation of surgical methods for low invasive surgical treatment of diseases of the kidneys and urinary tractO. A. Ushakova0M. V. Suturin1Yu. S. Lobanov2A. V. Efimov3G. I. Vilsky4City Clinical Hospital No. 1City Clinical Hospital No. 1Chita State Medical AcademyRegional Clinical Hospital of ChitaRegional Clinical Hospital of ChitaBackground. The rapid development of laparoscopic surgery can significantly reduce trauma during operations in the retroperitoneal space. These goals are also achieved by retroperitoneoscopy (RPS), which has become widespread in the last twenty years. The main difficulties for surgeons were associated with a small workspace and a lack of clear anatomical landmarks. Different access methods have different features, advantages and disadvantages, the analysis of which helps to optimize surgical treatment and accelerate patient rehabilitation.Aim: to study the advantages and disadvantages of retroperitoneoscopic and transperitoneal laparoscopic surgical methods of treatment.Materials and methods: We analyzed 305 case histories of patients operated on for various kidney diseases. The patients were divided into 2 groups: Group 1 – patients who underwent surgery using an extraperitoneal retroperitoneoscopic approach, Group 2 – patients who used the transperitoneal laparoscopic approach. A comparison of two methods of surgical treatment of kidney diseases, retroperitoneoscopic and laparoscopic access, was carried out. The following indicators were compared: duration of surgery, length of hospital stay, need for analgesics, frequency of postoperative complications.Results. The duration of the operation with retroperitoneoscopic surgery was reduced by more than 15 % compared with the laparoscopic approach. Shorter periods of pain relief were required, and the number of complications also decreased. The duration of inpatient treatment did not differ significantly.Conclusion. Retroperitoneoscopic approach can be used as the method of choice for operations on the retroperitoneal space.https://www.actabiomedica.ru/jour/article/view/3054retroperitoneal spaceretroperitoneoscopyballoon dissectionlaparoscopy |
| spellingShingle | O. A. Ushakova M. V. Suturin Yu. S. Lobanov A. V. Efimov G. I. Vilsky Comparative evaluation of surgical methods for low invasive surgical treatment of diseases of the kidneys and urinary tract Acta Biomedica Scientifica retroperitoneal space retroperitoneoscopy balloon dissection laparoscopy |
| title | Comparative evaluation of surgical methods for low invasive surgical treatment of diseases of the kidneys and urinary tract |
| title_full | Comparative evaluation of surgical methods for low invasive surgical treatment of diseases of the kidneys and urinary tract |
| title_fullStr | Comparative evaluation of surgical methods for low invasive surgical treatment of diseases of the kidneys and urinary tract |
| title_full_unstemmed | Comparative evaluation of surgical methods for low invasive surgical treatment of diseases of the kidneys and urinary tract |
| title_short | Comparative evaluation of surgical methods for low invasive surgical treatment of diseases of the kidneys and urinary tract |
| title_sort | comparative evaluation of surgical methods for low invasive surgical treatment of diseases of the kidneys and urinary tract |
| topic | retroperitoneal space retroperitoneoscopy balloon dissection laparoscopy |
| url | https://www.actabiomedica.ru/jour/article/view/3054 |
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