Abstract

GONZALEZ LEON, Tania et al. Use of lumboscopic surgery in patients cared for at the National Center for Minimal Access Surgery. Rev Cub Med Mil [online]. 2012, vol.41, n.2, pp.151-159. ISSN 0138-6557.

Introduction: at first, urologists accessed the upper urinary tract transperitoneally. Later on they developed the lumboscopic approach or retroperitoneoscopy, accessing the retroperitoneum directly, thus preventing intra-abdominal lesions and the contamination of the abdominal cavity with urine. Objective: characterize the results obtained with the use of lumboscopic surgery as surgical treatment. Methods: a retrospective longitudinal descriptive study was conducted at the National Center for Minimal Access Surgery with 327 patients, who underwent lumboscopic approach surgery. Results: the most common surgical interventions were ureterolithotomy (55.9 %) and simple nephrectomy (17.7 %). Mean surgical time was 120 min. Conversion was required in 2.5 % of the patients. Transoperative complications occurred in 10.7 % of the patients, and only 1.2 % of them were major. Hypercapnia was a transoperative complication occurring in 11.9 % in relation to the direct route of access to the retroperitoneum. Conclusions: ureterolithotomy was the most common intervention. Surgical times were in accordance with the complexity of procedures. Feasibility of this route of access was due to its low percentage of conversion to a different surgical access route. Its safety was due to its low rate of major complications, which makes it useful for urological surgical interventions of the upper urinary tract.

Keywords : urological minimal access surgery; lumboscopic surgery; retroperitoneoscopy; laparoscopic surgery.

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