PTU - Polskie Towarzystwo Urologiczne
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Videoendoscopic retroperitoneal nephrectomy performed in flank or prone position: a comparison of two techniques
Article published in Urologia Polska 2002/55/2.


Wiesław Urbanowicz 1, Maria Wieczorek 1, Marek Górniak 1, Michał Wolnicki 1, Barbara Mrożek 2
1 Klinika Urologii Dziecięcej Katedry Chirurgii Pediatrycznej
Collegium Medicum Uniwersytetu Jagiellońskiego w Krakowie
Kierownik kliniki: dr hab. Wiesław Urbanowicz
2 Katedra Anestezjologii i Intensywnej Terapii Collegium Medicum Uniwersytetu Jagiellońskiego w Krakowie
Kierownik katedry: dr hab. Janusz Andres


kidney, retroperitoneoscopic nephrectomy, flank position, prone position, children


Purpose. Retroperitoneal videoscopic nephrectomies and nephrouretereclomies have usually been performed in flank position of the patient. There have been some recent publications about operating on patients in a prone position, so we wanted to try this technique. We report our experience of 14 such procedures.
Material and method. Videoscopic retroperitoneal operations have been performed on 89 patients with urinary tract pathology. On 77 patients nephrectomy or nephroureteroctomy was performed, 63 of them in flank position, and 14 in prone position.
Results. None of evaluated patients required conversion to open surgery or blood transfusion. Operations performed in prone position were simplest because of the convenient view of the renal vessels. The time taken for surgery was therefore shorter. Also, the position of the surgeon\'s hands was more comfortable.
Conclusions. Prone position of the patient is convenient for videoscopic retroperitoneal nephpectomy or nephroureterectomy. The visibility of the anatomy of the kidney and renal hilus makes this technique safe for the patient.


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Wiesław Urbanowicz
Uniwersytecki Szpital Dziecięcy
Klinika Urologii Dziecięcej
30-663 Kraków
Wielicka 265
tel: (0-12) 657 21 31