The Reasons and Treatments of Peritoneal Rupture in Upper Urinary Tract Surgery by Retroperitoneal Laparoscopy
ZHAO Guo-bin
LI Xiang-dong
SU Hong-wei
TANG Yu-hong
ZHANG Xiu-mei
LIU Shuo
LING Hai-bin
Abstract：Objective To investigate the reasons and treatments of peritoneal rupture in upper urinary tract surgery by retroperitoneal laparoscopy. Methods Fourteen patients had peritoneal rupture in upper urinary tract surgery by retroper-itoneal laparoscopy from February 2010 to October 2013, and their clinical data was retrospectively analyzed. Results Of fourteen patients, five patients underwent radical nephrectomy, three patients underwent excision of adrenal tumor, two pa-tients underwent simple nephrectomy, two patients underwent partial nephrectomy, and two patients underwent nephroureterec-tomy;Peritoneal rupture occurred in the time of slitting side of the cone fascia in three cases, cleaning up extraperitoneal fat in one patient, and two cases each in the time of establishing retroperitoneal space, blind abdominal puncture cannula operation, harming peritoneal with devices, dissociating peritoneal adhesions at the ventral kidney damage and dissociating adrenal ven-tral. The treatments for peritoneal rupture were performed to restore the operation space, such as direct closuring with Hem-o-lok ( nine patients) , discharging gas from abdomen ( five patients) , suturing gap ( four patients) , and turning to hand-assis-ted laparoscopy ( one patient) . And all patients were completed the surgeries successfully. Conclusion Marstering the treat-ment skills of peritoneal rupture and dealing with it quickly may reduce operation time, avoid complications and contribute to completing surgery successfully.
Keywords：LaparoscopyRetroperitoneal spacePeritoneumRuptureTherapy
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 82-84 )