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...

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Autores principales:	O. A. Ushakova, M. V. Suturin, Yu. S. Lobanov, A. V. Efimov, G. I. Vilsky
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2021
Materias:	retroperitoneal space retroperitoneoscopy balloon dissection laparoscopy Science Q
Acceso en línea:	https://doaj.org/article/5a4add28c6be415da35ce00a40771813
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spelling	oai:doaj.org-article:5a4add28c6be415da35ce00a407718132021-11-23T06:14:47ZComparative evaluation of surgical methods for low invasive surgical treatment of diseases of the kidneys and urinary tract2541-94202587-959610.29413/ABS.2021-6.5.22https://doaj.org/article/5a4add28c6be415da35ce00a407718132021-11-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/3054https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596Background. 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.O. A. UshakovaM. V. SuturinYu. S. LobanovA. V. EfimovG. I. VilskyScientific Сentre for Family Health and Human Reproduction Problemsarticleretroperitoneal spaceretroperitoneoscopyballoon dissectionlaparoscopyScienceQRUActa Biomedica Scientifica, Vol 6, Iss 5, Pp 230-236 (2021)
institution	DOAJ
collection	DOAJ
language	RU
topic	retroperitoneal space retroperitoneoscopy balloon dissection laparoscopy Science Q
spellingShingle	retroperitoneal space retroperitoneoscopy balloon dissection laparoscopy Science Q 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
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.
format	article
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
title	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_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_sort	comparative evaluation of surgical methods for low invasive surgical treatment of diseases of the kidneys and urinary tract
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2021
url	https://doaj.org/article/5a4add28c6be415da35ce00a40771813
work_keys_str_mv	AT oaushakova comparativeevaluationofsurgicalmethodsforlowinvasivesurgicaltreatmentofdiseasesofthekidneysandurinarytract AT mvsuturin comparativeevaluationofsurgicalmethodsforlowinvasivesurgicaltreatmentofdiseasesofthekidneysandurinarytract AT yuslobanov comparativeevaluationofsurgicalmethodsforlowinvasivesurgicaltreatmentofdiseasesofthekidneysandurinarytract AT avefimov comparativeevaluationofsurgicalmethodsforlowinvasivesurgicaltreatmentofdiseasesofthekidneysandurinarytract AT givilsky comparativeevaluationofsurgicalmethodsforlowinvasivesurgicaltreatmentofdiseasesofthekidneysandurinarytract
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Comparative evaluation of surgical methods for low invasive surgical treatment of diseases of the kidneys and urinary tract

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