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首页> 外文期刊>Cureus. >Combined Retroperitoneal and Transperitoneal Laparoscopic Procedures by a Single Surgeon: Boon to Economically and Medically Backward Areas
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Combined Retroperitoneal and Transperitoneal Laparoscopic Procedures by a Single Surgeon: Boon to Economically and Medically Backward Areas

机译：单个外科医生组合腹膜后腹膜和翻细胞腹腔镜手术：福音在经济和医学上落后地区

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Introduction This study was done to evaluate our experience of combining a retroperitoneal laparoscopic urological operation with other transperitoneal laparoscopic operations. Materials and methods We present a retrospective study of a series of 20 cases of retroperitoneal laparoscopic urological surgeries combined with at least one transperitoneal laparoscopic procedures, performed by a senior minimally invasive surgeon, between March?2013 and August?2020. We have excluded three patients where either of the procedures required conversion to open surgery. We retrospectively reviewed all the data regarding the patient’s demographics, combined surgical procedures done, operative time taken, blood loss, intraoperative and postoperative complications, and days of hospital stay. Results Total of 20 patients had undergone simultaneous retroperitoneal and transperitoneal laparoscopic procedures. A total of nine (45%) cases comprised a combination of retroperitoneal laparoscopic ureterolithotomy and laparoscopic cholecystectomy. Two patients had undergone a combination of three laparoscopic procedures in the same operation. The mean hospital stay was 3.6 days. Blood loss was minimal to moderate?in all the patients, none needed any perioperative blood transfusion. No major complications were noted in any patients. Conclusion Combining a retroperitoneal laparoscopic urological procedure with another transperitoneal laparoscopic surgery is very much feasible. It becomes even easier and relevant provided both the procedures are performed by a single, experienced laparoscopic surgeon.
机译：简介本研究进行了评估我们将腹膜内腹腔镜泌尿科与其他翻盖腹腔镜操作组合的经验。材料和方法我们提出了一系列腹膜腹腔镜泌尿外科尿道手术的回顾性研究，结合至少一个翻膜腹腔镜程序，由高级侵入性外科医生在3月份，2013年和8月（8月2020年）进行。我们排除了三名患者，其中任何一项程序都需要转换为开放手术。我们回顾性地审查了有关患者人口统计数据的所有数据，组合手术程序，采取的操作时间，失血，术中和术后并发症以及医院住宿日。结果20名患者的共同腹膜腹膜腹腔镜手术共有20例。共有九（45％）案例组合包含腹膜后腹腔镜病毒术和腹腔镜胆囊切除术的组合。两名患者在相同操作中经历了三种腹腔镜手术的组合。平均医院住宿时间为3.6天。血液损失很小至中度？在所有患者中，没有任何围手术期输血。任何患者都没有注意到主要的并发症。结论结合腹膜后腹腔镜泌尿方法与另一种翻翻腹腔镜手术相结合，是非常可行的。提供甚至更容易和相关的，只要通过单一经验丰富的腹腔镜外科医生执行这两种程序。

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