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Laparoscopic Renal Surgery After Spontaneous Retroperitoneal Hemorrhage

Hernandez, Fernando ; Ong, Albert M ; Rha, Koon H ; Pinto, Peter A ; Kavoussi, Louis R

The Journal of Urology, 2003, Vol.170(3), pp.749-751 [Periódico revisado por pares]

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  • Título:
    Laparoscopic Renal Surgery After Spontaneous Retroperitoneal Hemorrhage
  • Autor: Hernandez, Fernando ; Ong, Albert M ; Rha, Koon H ; Pinto, Peter A ; Kavoussi, Louis R
  • Assuntos: Laparoscopy ; Hemorrhage ; Kidney ; Rupture ; Nephrectomy ; Laparoscopy ; Hemorrhage ; Kidney ; Rupture ; Nephrectomy ; Medicine
  • É parte de: The Journal of Urology, 2003, Vol.170(3), pp.749-751
  • Descrição: We assessed the role of laparoscopic management in patients following spontaneous retroperitoneal hemorrhage from a renal tumor. A retrospective chart review revealed 4 patients with spontaneous retroperitoneal hemorrhage treated at our institution in the last 2 years. After conservative management elsewhere patients were referred for definitive therapy. Patient characteristics and tumor size were examined and correlated with ease of surgical dissection and surgical outcome. No patient had any history of trauma. Computerized tomography was used to identify the initial extent of hemorrhage in all patients. All patients underwent successful laparoscopic exploration without the need for open conversion. Three patients underwent radical nephrectomy and 1 underwent laparoscopic partial nephrectomy. Renal hemorrhage extending outside of the renal capsule was associated with significantly more adhesions than renal hemorrhage confined to the renal...
  • Idioma: Inglês

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