Document Detail


Laparoscopic retroperitoneal renal biopsy.
MedLine Citation:
PMID:  11206617     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Histologic information can be pivotal in making treatment decisions. Ultrasound-guided percutaneous biopsy is the current standard, but if this procedure fails or is considered to be high risk, laparoscopic biopsy may be appropriate. A CT or ultrasound scan is obtained to determine whether there is any condition that would mandate biopsy of a particular kidney. The retroperitoneal space is entered with a visual obturator, and, after CO2 insufflation to 15 to 20 mm Hg, the space is enlarged initially by blunt dissection with the laparoscope. Two-tooth biopsy forceps are used to obtain tissue, and hemostasis is achieved with the argon beam coagulator with care to vent the increased pressure created by the flow of gas. Postoperatively, specific attention is given to blood pressure control. Hemorrhage is the most common serious complication, so any anticoagulation regimen must be reinstituted cautiously.
Authors:
S V Jackman; J T Bishoff
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Publication Detail:
Type:  Comparative Study; Evaluation Studies; Journal Article    
Journal Detail:
Title:  Journal of endourology / Endourological Society     Volume:  14     ISSN:  0892-7790     ISO Abbreviation:  J. Endourol.     Publication Date:  2000 Dec 
Date Detail:
Created Date:  2001-02-06     Completed Date:  2001-04-05     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8807503     Medline TA:  J Endourol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  833-8; discussion 838-9     Citation Subset:  IM    
Affiliation:
The James Brady Urological Institute, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA.
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MeSH Terms
Descriptor/Qualifier:
Biopsy / methods*
Humans
Kidney Diseases / pathology*,  radiography,  ultrasonography
Laparoscopy*
Length of Stay
Patient Selection
Posture
Reproducibility of Results
Retroperitoneal Space
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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