Meganathan, K (2006) Study of Retroperitoneoscopic Surgeries in our Department. Masters thesis, Madras Medical College, Chennai.
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Abstract
INTRODUCTION :The concept of large incisions so dominated surgical thought that the myriadpossibilities that “key hole surgery ” had to offer were not contemplated.Gynecologists took the initial lead in introducing laparoscopy for diagnostic andtherapeutic uses in the 1960s and 1970s.it was only after the phenomenalsuccess of laparoscopic cholecystectomy that surgical community started to takenotice.The meaning of “lapara” in Greek being flank, laparoscopy should onlyrepresent inspection of the structures in the lumbar region. Since the termlaparoscopy was first used by Jacobeus in 1910 for the inspection of peritonealcavity with the cystoscope, it is still being used for its historical significance. In our institution we are doing laparoscopy work since April 2004. We havedone about 120 laparoscopic procedures till now and among themretroperitoneoscopic procedures were 64.This study was done to analyze the effectiveness of retroperineoscopicprocedures. AIMS OF THE STUDY : 1. To analyse the various procedures done through retroperitoneoscopy. 2. To analyse the results and complications of retroperitoneoscopic procedures. 3. To compare the results of retroperitoneoscopic and open ureterolithotomiesfor large upper and mid ureteric calculus.4. To compare the results of retroperitoneoscopic and open nephrectomies forbenign non functioning kidneys. PATENTS AND METHODS :We have done 64 retroperitoneoscopic procedures in our department duringthe period between April 2004 –August 2005. Among them 46 were males and 18 females.Right side predominant in the ratio of 1.3: 1. The retroperitoneoscopic procedures that were done during this period , were Ureterolithotomy– 40, Nephrectomy – 11, Pyelolithotomy– 4, Ureteroureterostomy– 3, Ureterolysis – 2, Pyeloplasty– 2, Lymph cyst excision -1, Renal cyst deroofing -1. CONCLUSION : Laparoscopic retroperitoneal surgery is better alternative in patientsrequiring open surgery especially in ureteric stone disease because ofshorter hospital stay ,less analgesic requirement, cosmetically good scar andcomplete stone clearance in single session.Retroperitoneoscopic nephrectomy should be offered as primary modality to patients with benign renal diseases scheduled for electivenephrectomy. Retroperitoneoscopic procedures for retrocaval ureter, renal cyst,retroperitoneal lymph cyst and ureteric obstruction requiring ureterolysisshould be considered as primary modality.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Retroperitoneoscopic Surgeries. |
| Subjects: | MEDICAL > Urology |
| Depositing User: | Kambaraman B |
| Date Deposited: | 09 Aug 2017 03:48 |
| Last Modified: | 09 Aug 2017 03:48 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/2525 |
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