Artículo de revista
Diaphragmatic injury during transperitoneal urological laparoscopic surgery Lesión diafragmática durante la laparoscopia urológica transperitoneal
Fecha
2010Registro en:
Revista Chilena de Cirugia, Volumen 62, Issue 3, 2018, Pages 251-254
07184026
03793893
Autor
Castillo C., Octavio A.
Vitagliano, Gonzalo
Ivar Vidal, M.
Institución
Resumen
Introduction: Capnothorax is a rare complication of urologic laparoscopy. However with the increasing use of this technique in a variety of urological procedures, this rare complication is a potential risk. Material and Methods: We analyzed a total of 786 urological procedures performed by transperitoneal laparoscopy in our center. All procedures were performed by the same surgeon: 213 adrenalectomy, 181 simple nephrectomies, 143 lymphadenectomies, 118 radical nephrectomies, 107 partial nephrectomies and 24 nephroureterectomy. Results: A total of 6 patients (0.7%) present diaphragmatic lesions. The diaphragmatic repair was performed totally intracorporeal. One patient required the placement of a pleural drainage. No patient presented complications associated with diaphragmatic injury. Conclusion: Repair of diaphragmatic injury during transperitoneal laparoscopy can be performed successfully by this route. This technique is feasible, reproducible and reliable. This is the largest series