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Alteration of body configuration after retroperitoneoscopic nephrectomy and nephroureterectomy
Author(s) -
Yoshimura Koji,
Ichioka Kentaro,
Matsui Yoshiyuki,
Terai Akito,
Arai Yoicih
Publication year - 2005
Publication title -
bju international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 1464-4096
DOI - 10.1111/j.1464-410x.2005.05305.x
Subject(s) - nephrectomy , medicine , dorsum , trunk , significant difference , ran , computed tomography , anatomy , surgery , urology , nuclear medicine , kidney , biology , ecology , microbiology and biotechnology
OBJECTIVE To evaluate objective alterations of body configuration in patients who treated with retroperitoneoscopic nephrectomy (RN) and retroperitoneoscopy‐assisted nephroureterectomy (RAN). PATIENTS AND METHODS Twenty‐six patients who had RN and 23 RAN were eligible for the study. Abdominal computed tomography films before and after surgery were evaluated. The intra‐abdominal content surrounded by the vertebral bones and the muscles forming the trunk of the body were divided into four subspaces. The areas of these four portions were measured, and the ratio of occupation of each portion calculated before compared with that obtained after surgery. RESULTS While RAN had little impact on body configuration, RN significantly affected it; after RN the total area and area of ventral subspaces decreased homogeneously throughout the L2–L4 levels. The ipsilatero‐dorsal subspace had a marked cranial decrease in area and no caudal alteration. CONCLUSIONS While RAN has little effect on body configuration, RN has a significant effect, as measured objectively. Continuing the skin incision between ports and muscle splitting to extract the specimen is probably responsible for the difference between the findings of RAN and RN.