Abstract
Abstract Background: At present, the laparoscopic intervention in retroperitoneal primitive tumors, abscesses, haematomas and retroperitoneal effusions is still a challenge. The purpose of this paper is to identify the differences between laparoscopic and conventional surgical interventions in diseases of the retroperitoneum. Material and method: The study follows a retrospective analysis of various retroperitoneal interventions performed on 62 patients between 2010-2012 in the Surgery Clinic 1 of Mures County Hospital. We have chosen from the casuistry the cases with tumoral diseases or nontumoral and divided the patients into two groups: group I who had undergone classic interventions and group II who had undergone laparoscopic procedures. We studied the clinical medical records, surgical protocols and anatomopathological results. Results: For 2010 we extracted 23 cases (39,2% classical interventions), for 2011-21 patients (31,4% classic) and for 2012 -18 cases (29,4% classical interventions). According to the type of the disease, 30 classical interventions were performed for tumoral formations and 21 interventions for non-tumoral formations. Laparoscopic tumoral cases included three tumors and a retroperitoneal metastasis,while the non-tumoral were represented by 7 urohaematic effusions as a result of percutaneous nephrolithotomy procedures. Conclusions: Laparoscopic surgery of retroperitoneal lesions is minimally invasive, the postoperative evolution of patients is favorable, without major complications.. Classical intervention of retroperitoneal lesions is indicated in large haematomas, abscesses, and big invasive tumors with vascular factor which does not allow the use of laparoscopic technique
Highlights
IntroductionThe retroperitoneum hosts various anatomical structures: vessels, nerves, muscles, sympathetic ganglia, lymph vessels and nodes, ectopic and glandular tissues and embryonic remnants which belong to this area and are surrounded by a fat and fibrous connective tissue of different thicknesses and density
In medical practice the retroperitoneal space is perceived as an area lying behind the posterior peritoneal foil together with its pelvi-subperitoneal extension.The retroperitoneum hosts various anatomical structures: vessels, nerves, muscles, sympathetic ganglia, lymph vessels and nodes, ectopic and glandular tissues and embryonic remnants which belong to this area and are surrounded by a fat and fibrous connective tissue of different thicknesses and density
The laparoscopic technique is less used in the surgical interventions of retroperitoneal lesions, in time, with the development of laparoscopic surgical devices and instruments and the emergence of experienced surgical teams in the field, it was possible for some retroperitoneal lesions to be operated using this technique
Summary
The retroperitoneum hosts various anatomical structures: vessels, nerves, muscles, sympathetic ganglia, lymph vessels and nodes, ectopic and glandular tissues and embryonic remnants which belong to this area and are surrounded by a fat and fibrous connective tissue of different thicknesses and density. All these elements of the retroperitoneal area have a vast pathology. We have chosen from the casuistry the cases with tumoral diseases or nontumoral and divided the patients into two groups: group I who had undergone classic interventions and group II who had undergone laparoscopic procedures. Classical intervention of retroperitoneal lesions is indicated in large haematomas, abscesses, and big invasive tumors with vascular factor which does not allow the use of laparoscopic technique
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