TY - JOUR AU - Stacey, R AB - British Journal of Surgery 1995, 82, 1038-1039 Surgical workshop Retroperitoneoscopy and retroperitoneal colonic mobilization: a new approach in laparoscopic colonic surgery A. DARZI, N. HUNT and R. STACEY Academic Surgical Unit, St Mary's Hospital, Praed Street, London W2 1ruI: UK Correspondence to: Mr A. Darzi A method of retroperitoneal colonic mobilization involving the use of specially designed laparoscopic balloons which facilitate accurate dissection and reduce operating time is described. Surgical technique Full video endoscopic facilities are required, including the provision of a camera, television monitor and insufflation system Fig. 1 Retroperitoneal balloon distension resulting in colonic for both laparoscopy and retroperitoneoscopy. mobilization Laparoscopy Standard preoperative preparations are employed and a pneumo- peritoneum is established using a closed technique. A 10-mm 0" laparoscope is inserted through a subumbilical port and initial laparoscopy performed. Retroperitoneoscopy A 2-cm incision is made just above the anterior superior iliac spine, and the subcutaneous and fascia1 layers are dissected down to the iliacus and quadratus lumborum muscles. Continuous laparoscopic monitoring ensures that the peritoneum is not violated. A latex balloon (Origin Med System, California, USA) is inserted into the retroperitoneal space behind either the ascending or descending colon, depending on operation site. At this stage TI - Retroperitoneoscopy and retroperitoneal colonic mobilization: A new approach in laparoscopic colonic surgery JF - British Journal of Surgery DO - 10.1002/bjs.1800820812 DA - 1995-08-01 UR - https://www.deepdyve.com/lp/oxford-university-press/retroperitoneoscopy-and-retroperitoneal-colonic-mobilization-a-new-LOmM0v8Bcd SP - 1038 EP - 1039 VL - 82 IS - 8 DP - DeepDyve ER -