The results of retroperitoneal laparoscopy in treatment traumatic leasions of kidney and its complications
Article published in Urologia Polska 2003/56/2.

authors

Mieczysław Fryczkowski, Andrzej Potyka, Jacek Huk, Mieczysław Dziedzic: Katedra i Klinika Urologii w Zabrzu Śląskiej Akademii Medycznej w Katowicach Kierownik kliniki: prof, dr hab. Mieczysław Fryczkowski

keywords

kidney, trauma, laparoscopic treatment.

summary

Objective. In the last years most of traumatic kidney lesions, where not in danger of life has been treated non surgicaly.

Material and methods. Aulhors describe summary 3 patients in age 26-45 years with kidney lesion or complications after trauma in whom surgical treatment with help extraperitoneale laparoscopy was performed.

Results. The operative time was 8.5-135 min. blood loss 50-220 ml, hospitalization time 7-22 days, and time of convalescence was 14-2 7 days.

Conclusion. The paper confirm the possibility of treatment traumatic lesions of kidney and its complications with help laparoscopy, in condition that: 1. There is full hemodynamic stabilization before surgery. 2. There is possibility to full control of intra operative bleeding.

references

1. Chang GL Lazon 0, Stone R: Conservative treatment of type Ul renal Trauma. J Trauma 1994; 30: 491-494.
2. Lobcl B, Mnudouni SN. Hadaj-Slimen .VI. lJelard J. Manunts A. Ri-gauld G, Guille K, Bouchol 0: Major blunt renal laceration. Is a nono-peralive apporoach indicated. Kur Urol 2001: 39 supl. 5. abslr.: 284.
3. Boggi U, Ferrari M. Di Gandio G. Campatella A. Madca F: Renal hypertension due to giant perirenal hematoma: Permanent restitution by percutaneous ultrasound guided drainage. Scand ] Urol. Nephrol 1998: 32: 63-66.
4. Sutherland SF„ Splrnack JP: Rebleeding after major blunt rend trauma. Is surgical exploration mandatory.] lirol 2001: 165. supl. 5.«ibstr:62.
5. Ushida M, Jahnin K, Kaizumi S. Okode Y: ldiopatic retroperitoneal he-malome. mimihny cyslis tumor assoiiated with hemorrhagic renal cyst. J Urol 2000:163: ] 247-124S.
6. Xlatloga BR. VeysJA.JungF. Ilutcheson]C: Subaipsidure urinoma: An unusualform of Page kidney in a high school wrestler. J Urol 2002; 168: 672-673.
7. Cierny M. Ochmann J. Machu L. Kozumplik L. Melicher W. Vranty-ak J: l/iparoscopy in trauma. Why. wlien haw and who.- U Symp. Vidc-osurg. Slow-czech-polisch. Abrevation abslr.: 22.
8. Brandt OP. Priele PP. Jacobs DG: Potential oflaparoscopy to reduce non tampeutic trauma laparotomies. Am Surg 1994: 60:416-420.
9. Townsead Ml.. Planchaum L Choban PS: Diagnostic laparoscope asan adjunct to selective conservative managemant of solid organ injuries after blunt abdominal trauma. (Trauma 1993: 35: 647-653.
10. Smith RS. Fry WR. Marabilo DJ, Kechler RM, Organ CH: Terapeutic laparoscopy in trauma. Am] Surg 1995:170: 632-636.
11. Peterson C, Braun S: F.mergcncy laparoscopic surgery. Brit ) Surg 1993:80:271-283.
12. Wośkiewicz W. Szczepkowski M. Sawicki M, Skoneczny P, Górnicki KT: Zastosowanie laparoskopii w tępych urazadi jamy brzusznej. YTI Symp. Videochir. PTCh 1998: Sneszczcnia, abstr.: 103.
13. Vallancien G. Cathelłneau X. Baumert H. Deublet JD. Guillomeau B: Complications of transperitoneal laparoscopic surgery in urology. Review of 1311 procedure at a simple center. J Urol 2002: 168: 23-26.

correspondence