Modified technique for dissection of working space in retroperitoneal laparoscopic surgery: A step-by-step guide.

ABSTRACT:

Objectives

This work aims to describe with a step-by-step guide for modified dissection technique to create a retroperitoneal working space during laparoscopic surgery.

Materials and methods

From May 2021 to December 2022, we performed a modified dissection technique to create a retroperitoneal working space prior retroperitoneal laparoscopic surgery in 47 patients. The retroperitoneum is initially accessed by puncturing the trocar through a 10-mm transverse skin incision in the midaxillary line. Under endoscopic monitoring, the tip of the trocar is adjusted to a relative avascular layer between the transversus abdominis muscle and the pararenal fat. Laparoscopic dissection is performed to develop until the working space is fully established.

Results

In all cases, a s

SUBMITTER: Xu X 

PROVIDER: S-EPMC12270994 | biostudies-literature | 2025 Jul

REPOSITORIES: biostudies-literature