Skip to main content
Erschienen in: International Urology and Nephrology 1/2012

01.02.2012 | Urology – Review

Retroperitoneal renal laparoscopy

verfasst von: Rajeev Kumar, Ashok K. Hemal

Erschienen in: International Urology and Nephrology | Ausgabe 1/2012

Einloggen, um Zugang zu erhalten

Abstract

The retroperitoneal laparoscopic approach to the kidney offers a minimally invasive access that mimics the open surgical techniques of renal surgery. It allows renal surgery without violation of the peritoneal cavity with its attendant complications such as bowel injury and ileus. Over the last two decades, all renal surgery has been shown to be feasible through this technique. This includes complicated procedures such as a donor nephrectomy and radical nephroureterectomy for upper tract transitional cell cancers. We began performing retroperitoneoscopic renal surgery in the early 1990s and have developed a number of modifications to existing techniques so as to make this surgery easy and cost effective. In this review, we discuss the evolution of retroperitoneoscopic renal surgery, the indications, techniques and outcome of all types of retroperitoneoscopic renal surgery.
Literatur
1.
Zurück zum Zitat Wickham JEA (ed) (1979) The surgical treatment of renal lithiasis. In: Urinary calculus disease. Churchill Livingstone, New York, 145–198 Wickham JEA (ed) (1979) The surgical treatment of renal lithiasis. In: Urinary calculus disease. Churchill Livingstone, New York, 145–198
2.
Zurück zum Zitat Bay-Nielsen H, Schultz A (1982) Endoscopic retroperitoneal removal of stones from the upper half of the ureter. Scand J Urol Nephrol 16:227–228PubMedCrossRef Bay-Nielsen H, Schultz A (1982) Endoscopic retroperitoneal removal of stones from the upper half of the ureter. Scand J Urol Nephrol 16:227–228PubMedCrossRef
3.
Zurück zum Zitat Clayman RV, Preminger GM, Franklin JF, Curry T, Peters PC (1985) Percutaneous uretero ilithotomy. J Urol 133:671–673PubMed Clayman RV, Preminger GM, Franklin JF, Curry T, Peters PC (1985) Percutaneous uretero ilithotomy. J Urol 133:671–673PubMed
4.
Zurück zum Zitat Clayman RV, Kavoussi LR, Soper NJ, Dierks NJ, Meretyk S, Darcy MD, Roemer FD, Pingleton ED, Thomson PG, Long SR (1991) Laparoscopic nephrectomy: initial Case report. J Urol 146:278–281 Clayman RV, Kavoussi LR, Soper NJ, Dierks NJ, Meretyk S, Darcy MD, Roemer FD, Pingleton ED, Thomson PG, Long SR (1991) Laparoscopic nephrectomy: initial Case report. J Urol 146:278–281
5.
Zurück zum Zitat Gaur DD (1992) Laparoscopic operative retroperitoneoscopy: use of a new device. J Urol 148:1137–1139PubMed Gaur DD (1992) Laparoscopic operative retroperitoneoscopy: use of a new device. J Urol 148:1137–1139PubMed
6.
Zurück zum Zitat Gaur DD, Agarwal DK, Purohit KC (1993) Retroperitoneal laparoscopic nephrectomy: initial case report. J Urol 149(1):103–105PubMed Gaur DD, Agarwal DK, Purohit KC (1993) Retroperitoneal laparoscopic nephrectomy: initial case report. J Urol 149(1):103–105PubMed
7.
8.
Zurück zum Zitat Hemal AK, Aron M, Gupta NP, Seth A, Wadhwa SN (1999) The role of retroperitoneoscopy in the management of renal and adrenal pathology. BJU Int 83(9):929–936PubMedCrossRef Hemal AK, Aron M, Gupta NP, Seth A, Wadhwa SN (1999) The role of retroperitoneoscopy in the management of renal and adrenal pathology. BJU Int 83(9):929–936PubMedCrossRef
9.
Zurück zum Zitat Hemal AK, Gupta NP, Wadhwa SN, Goel A, Kumar R (2001) Retroperitoneoscopic nephrectomy and nephroureterectomy for benign nonfunctioning kidneys: a single-center experience. Urology 57(4):644–649PubMedCrossRef Hemal AK, Gupta NP, Wadhwa SN, Goel A, Kumar R (2001) Retroperitoneoscopic nephrectomy and nephroureterectomy for benign nonfunctioning kidneys: a single-center experience. Urology 57(4):644–649PubMedCrossRef
10.
Zurück zum Zitat Hemal AK, Gupta NP, Kumar R (2000) Comparison of retroperitoneoscopic nephrectomy with open surgery for tuberculous nonfunctioning kidneys. J Urol 164(1):32–35PubMedCrossRef Hemal AK, Gupta NP, Kumar R (2000) Comparison of retroperitoneoscopic nephrectomy with open surgery for tuberculous nonfunctioning kidneys. J Urol 164(1):32–35PubMedCrossRef
11.
Zurück zum Zitat Rassweiler J, Henkel T et al (1994) Retroperitoneal Laparoscopic nephrectomy and other procedures in the upper retroperitoneum using a balloon dissection technique. Eur Urol 25:229PubMed Rassweiler J, Henkel T et al (1994) Retroperitoneal Laparoscopic nephrectomy and other procedures in the upper retroperitoneum using a balloon dissection technique. Eur Urol 25:229PubMed
12.
Zurück zum Zitat Mcdougall EM, Clayman RV, Fadden PT (1994) Retroperitoneoscopy: the Washington University Medical School experience. Urology 43(4):446–452PubMedCrossRef Mcdougall EM, Clayman RV, Fadden PT (1994) Retroperitoneoscopy: the Washington University Medical School experience. Urology 43(4):446–452PubMedCrossRef
13.
Zurück zum Zitat Webb DR, Redgrave N, Chan Y, Harewood LM (1993) Extraperitoneal laparoscopy: early experience, evaluation. Aust NZ J Surg 63:554CrossRef Webb DR, Redgrave N, Chan Y, Harewood LM (1993) Extraperitoneal laparoscopy: early experience, evaluation. Aust NZ J Surg 63:554CrossRef
15.
Zurück zum Zitat Hemal AK (1998) Re: laparoscopic nephrectomy via the retroperitoneal approach. J Urol 159:1992–1993 Hemal AK (1998) Re: laparoscopic nephrectomy via the retroperitoneal approach. J Urol 159:1992–1993
16.
Zurück zum Zitat Gill IS, Grune MT, Munch LC (1996) Access technique for retroperitoneoscopy. J Urol 156:1120–1124PubMedCrossRef Gill IS, Grune MT, Munch LC (1996) Access technique for retroperitoneoscopy. J Urol 156:1120–1124PubMedCrossRef
17.
Zurück zum Zitat Hemal AK, Wadhwa SN, Kumar M, Gupta NP (1999) Transperitoneal and retroperitoneal laparoscopic nephrectomy for Giant Hydronephrosis. J Urol 162:35–39PubMedCrossRef Hemal AK, Wadhwa SN, Kumar M, Gupta NP (1999) Transperitoneal and retroperitoneal laparoscopic nephrectomy for Giant Hydronephrosis. J Urol 162:35–39PubMedCrossRef
18.
Zurück zum Zitat Hemal AK, Kumar M (1999) Extracorporeal renal retraction: an adjunct during retroperitoneoscopic renal surgery. BJU Int 83:136–137PubMedCrossRef Hemal AK, Kumar M (1999) Extracorporeal renal retraction: an adjunct during retroperitoneoscopic renal surgery. BJU Int 83:136–137PubMedCrossRef
19.
Zurück zum Zitat Rassweiler J, Fornara P, Weber M, Janet Schek G et al (1998) Laparoscopic nephrectomy: the experience of the laparoscopy working Group of the German urologic association. J Urol 160:18–21PubMedCrossRef Rassweiler J, Fornara P, Weber M, Janet Schek G et al (1998) Laparoscopic nephrectomy: the experience of the laparoscopy working Group of the German urologic association. J Urol 160:18–21PubMedCrossRef
20.
Zurück zum Zitat Gupta NP, Agarwal AK, Sood S (1997) Tubercular pyelonephritic nonfunctioning kidney—another relative contraindication for laparoscopic nephrectomy: a case report. J Lap Adv Surg Tech 7(2):131–134CrossRef Gupta NP, Agarwal AK, Sood S (1997) Tubercular pyelonephritic nonfunctioning kidney—another relative contraindication for laparoscopic nephrectomy: a case report. J Lap Adv Surg Tech 7(2):131–134CrossRef
21.
Zurück zum Zitat Zhang X, Zheng T, Ma X, Li HZ, Li LC, Wang SG, Wu ZQ, Pan TJ, Ye ZQ (2005) Comparison of retroperitoneoscopic nephrectomy versus open approaches to nonfunctioning tuberculous kidneys: a report of 44 cases. J Urol 173(5):1586–1589PubMedCrossRef Zhang X, Zheng T, Ma X, Li HZ, Li LC, Wang SG, Wu ZQ, Pan TJ, Ye ZQ (2005) Comparison of retroperitoneoscopic nephrectomy versus open approaches to nonfunctioning tuberculous kidneys: a report of 44 cases. J Urol 173(5):1586–1589PubMedCrossRef
22.
Zurück zum Zitat Mendoza D, Newman RC, Albala D et al (1996) Laparoscopic complications in markedly obese urological patients (a multi institutional review). Urology 48:562–566PubMedCrossRef Mendoza D, Newman RC, Albala D et al (1996) Laparoscopic complications in markedly obese urological patients (a multi institutional review). Urology 48:562–566PubMedCrossRef
23.
Zurück zum Zitat Fazeli-Martin S, Gill IS, Hsu HS, Sung GT, Novick A (1999) Laparoscopic renal and adrenal surgery in obese patients: comparison to open surgery. J Urol 162:665–669CrossRef Fazeli-Martin S, Gill IS, Hsu HS, Sung GT, Novick A (1999) Laparoscopic renal and adrenal surgery in obese patients: comparison to open surgery. J Urol 162:665–669CrossRef
24.
Zurück zum Zitat Hemal AK, Mishra S (2010) Retroperitoneoscopic nephrectomy for pyonephrotic nonfunctioning kidney. Urology 75(3):585–588PubMedCrossRef Hemal AK, Mishra S (2010) Retroperitoneoscopic nephrectomy for pyonephrotic nonfunctioning kidney. Urology 75(3):585–588PubMedCrossRef
25.
Zurück zum Zitat Hemal AK, Goel A, Kumar M, Gupta NP (2001) Evaluation of laparoscopic retroperitoneal surgery in urinary stone disease. J Endourol 15(7):701–705PubMedCrossRef Hemal AK, Goel A, Kumar M, Gupta NP (2001) Evaluation of laparoscopic retroperitoneal surgery in urinary stone disease. J Endourol 15(7):701–705PubMedCrossRef
26.
Zurück zum Zitat Yoshimura K, Takahara S, Kyakuno M, Yamaguchi S, Yoshioka T, Miyake O et al (2005) Retroperitoneoscopic living related-donor nephrectomy: clinical outcomes of 50 consecutive cases and comparison with open donor nephrectomy. J Endourol 19(7):808–812PubMedCrossRef Yoshimura K, Takahara S, Kyakuno M, Yamaguchi S, Yoshioka T, Miyake O et al (2005) Retroperitoneoscopic living related-donor nephrectomy: clinical outcomes of 50 consecutive cases and comparison with open donor nephrectomy. J Endourol 19(7):808–812PubMedCrossRef
27.
Zurück zum Zitat Ma L, Ye J, Huang Y, Hou X, Zhao L, Wang G (2010) Retroperitoneoscopic live-donor nephrectomy: 5-year single-center experience in China. Int J Urol 17(2):158–162PubMedCrossRef Ma L, Ye J, Huang Y, Hou X, Zhao L, Wang G (2010) Retroperitoneoscopic live-donor nephrectomy: 5-year single-center experience in China. Int J Urol 17(2):158–162PubMedCrossRef
28.
Zurück zum Zitat Hemal AK, Kumar M, Wadhwa SN (1999) Retroperitoneoscopic nephrolympholysis and ureterolysis for management of intractable filarial chyluria. J Endourol 13(7):507–511PubMedCrossRef Hemal AK, Kumar M, Wadhwa SN (1999) Retroperitoneoscopic nephrolympholysis and ureterolysis for management of intractable filarial chyluria. J Endourol 13(7):507–511PubMedCrossRef
29.
Zurück zum Zitat Zhang X, Zhu QG, Ma X, Zheng T, Li HZ, Zhang J, Fu B, Lang B, Xu K, Pan TJ (2005) Renal pedicle lymphatic disconnection for chyluria via retroperitoneoscopy and open surgery: report of 53 cases with followup. J Urol 174(5):1828–1831PubMedCrossRef Zhang X, Zhu QG, Ma X, Zheng T, Li HZ, Zhang J, Fu B, Lang B, Xu K, Pan TJ (2005) Renal pedicle lymphatic disconnection for chyluria via retroperitoneoscopy and open surgery: report of 53 cases with followup. J Urol 174(5):1828–1831PubMedCrossRef
30.
Zurück zum Zitat Wyler SF, Sulser T, Ruszat R, Weltzien B, Forster TH, Provenzano M, Gasser TC, Bachmann A (2007) Intermediate-term results of retroperitoneoscopy-assisted cryotherapy for small renal tumours using multiple ultrathin cryoprobes. Eur Urol 51(4):971–979PubMedCrossRef Wyler SF, Sulser T, Ruszat R, Weltzien B, Forster TH, Provenzano M, Gasser TC, Bachmann A (2007) Intermediate-term results of retroperitoneoscopy-assisted cryotherapy for small renal tumours using multiple ultrathin cryoprobes. Eur Urol 51(4):971–979PubMedCrossRef
31.
Zurück zum Zitat Hemal AK, Talwar M, Wadhwa SN, Gupta NP (1999) Retroperitoneoscopic nephrectomy for benign diseases of the kidney: prospective nonrandomized comparison with open surgical nephrectomy. J Endourol 13(6):425–431PubMedCrossRef Hemal AK, Talwar M, Wadhwa SN, Gupta NP (1999) Retroperitoneoscopic nephrectomy for benign diseases of the kidney: prospective nonrandomized comparison with open surgical nephrectomy. J Endourol 13(6):425–431PubMedCrossRef
32.
Zurück zum Zitat Gupta NP, Goel R, Hemal AK, Dogra PN, Seth A, Aron M, Kumar R, Ansari MS (2004) Should retroperitoneoscopic nephrectomy be the standard of care for benign nonfunctioning kidneys? An outcome analysis based on experience with 449 cases in a 5-year period. J Urol 172(4 Pt 1):1411–1413 Gupta NP, Goel R, Hemal AK, Dogra PN, Seth A, Aron M, Kumar R, Ansari MS (2004) Should retroperitoneoscopic nephrectomy be the standard of care for benign nonfunctioning kidneys? An outcome analysis based on experience with 449 cases in a 5-year period. J Urol 172(4 Pt 1):1411–1413
33.
Zurück zum Zitat Gupta NP, Hemal AK, Mishra S, Dogra PN, Kumar R (2008) Outcome of retroperitoneoscopic nephrectomy for benign nonfunctioning kidney: a single-center experience. J Endourol 22(4):693–698PubMedCrossRef Gupta NP, Hemal AK, Mishra S, Dogra PN, Kumar R (2008) Outcome of retroperitoneoscopic nephrectomy for benign nonfunctioning kidney: a single-center experience. J Endourol 22(4):693–698PubMedCrossRef
34.
Zurück zum Zitat Berglund RK, Gill IS, Babineau D, Desai M, Kaouk JH (2007) A prospective comparison of transperitoneal and retroperitoneal laparoscopic nephrectomy in the extremely obese patient. BJU Int 99(4):871–874PubMedCrossRef Berglund RK, Gill IS, Babineau D, Desai M, Kaouk JH (2007) A prospective comparison of transperitoneal and retroperitoneal laparoscopic nephrectomy in the extremely obese patient. BJU Int 99(4):871–874PubMedCrossRef
35.
Zurück zum Zitat Cicco A, Salomon L, Hoznek H, Alame W, Saint F, Bralet MP, Antiphon P, Chopin DK, Abbou CC (2000) Carcinological risks and retroperitoneal laparoscopy. Eur Urol 38(5):606–612PubMedCrossRef Cicco A, Salomon L, Hoznek H, Alame W, Saint F, Bralet MP, Antiphon P, Chopin DK, Abbou CC (2000) Carcinological risks and retroperitoneal laparoscopy. Eur Urol 38(5):606–612PubMedCrossRef
36.
Zurück zum Zitat Gill IS, Sung GT, Hobart MG, Savage SJ, Meraney AM, Schweizer DK, Klein EA, Novick AC (2000) Laparoscopic radical nephroureterectomy for upper tract transitional cell carcinoma: the Cleveland Clinic experience. J Urol 164(5):1513–1522PubMedCrossRef Gill IS, Sung GT, Hobart MG, Savage SJ, Meraney AM, Schweizer DK, Klein EA, Novick AC (2000) Laparoscopic radical nephroureterectomy for upper tract transitional cell carcinoma: the Cleveland Clinic experience. J Urol 164(5):1513–1522PubMedCrossRef
37.
Zurück zum Zitat Desai MM, Strzempkowski B, Matin SF, Steinberg AP, Ng C, Meraney AM, Kaouk JH, Gill IS (2005) Prospective randomized comparison of transperitoneal versus retroperitoneal laparoscopic radical nephrectomy. J Urol 173(1):38–41PubMedCrossRef Desai MM, Strzempkowski B, Matin SF, Steinberg AP, Ng C, Meraney AM, Kaouk JH, Gill IS (2005) Prospective randomized comparison of transperitoneal versus retroperitoneal laparoscopic radical nephrectomy. J Urol 173(1):38–41PubMedCrossRef
38.
Zurück zum Zitat Nambirajan T, Jeschke S, Al-Zahrani H, Vrabec G, Leeb K, Janetschek G (2004) Prospective, randomized controlled study: transperitoneal laparoscopic versus retroperitoneoscopic radical nephrectomy. Urology 64(5):919–924PubMedCrossRef Nambirajan T, Jeschke S, Al-Zahrani H, Vrabec G, Leeb K, Janetschek G (2004) Prospective, randomized controlled study: transperitoneal laparoscopic versus retroperitoneoscopic radical nephrectomy. Urology 64(5):919–924PubMedCrossRef
39.
Zurück zum Zitat Hattori R, Yoshino Y, Gotoh M, Katoh M, Kamihira O, Ono Y (2006) Laparoscopic nephroureterectomy for transitional cell carcinoma of renal pelvis and ureter: Nagoya experience. Urology 67(4):701–705PubMedCrossRef Hattori R, Yoshino Y, Gotoh M, Katoh M, Kamihira O, Ono Y (2006) Laparoscopic nephroureterectomy for transitional cell carcinoma of renal pelvis and ureter: Nagoya experience. Urology 67(4):701–705PubMedCrossRef
40.
Zurück zum Zitat Goel A, Hemal AK, Gupta NP (2002) Retroperitoneal laparoscopic radical nephrectomy and nephroureterectomy and comparison with open surgery. World J Urol 20(4):219–223PubMed Goel A, Hemal AK, Gupta NP (2002) Retroperitoneal laparoscopic radical nephrectomy and nephroureterectomy and comparison with open surgery. World J Urol 20(4):219–223PubMed
41.
Zurück zum Zitat Ng CS, Gill IS, Ramani AP, Steinberg AP, Spaliviero M, Abreu SC, Kaouk JH, Desai MM (2005) Transperitoneal versus retroperitoneal laparoscopic partial nephrectomy: patient selection and perioperative outcomes. J Urol 174(3):846–849PubMedCrossRef Ng CS, Gill IS, Ramani AP, Steinberg AP, Spaliviero M, Abreu SC, Kaouk JH, Desai MM (2005) Transperitoneal versus retroperitoneal laparoscopic partial nephrectomy: patient selection and perioperative outcomes. J Urol 174(3):846–849PubMedCrossRef
42.
Zurück zum Zitat Permpongkosol S, Link RE, Su LM, Romero FR, Bagga HS, Pavlovich CP, Jarrett TW, Kavoussi LR (2007) Complications of 2, 775 urological laparoscopic procedures: 1993 to 2005. J Urol 177(2):580–585PubMedCrossRef Permpongkosol S, Link RE, Su LM, Romero FR, Bagga HS, Pavlovich CP, Jarrett TW, Kavoussi LR (2007) Complications of 2, 775 urological laparoscopic procedures: 1993 to 2005. J Urol 177(2):580–585PubMedCrossRef
43.
Zurück zum Zitat Pareek G, Hedican SP, Gee JR, Bruskewitz RC, Nakada SY (2006) Meta-analysis of the complications of laparoscopic renal surgery: comparison of procedures and techniques. J Urol 175(4):1208–1213PubMedCrossRef Pareek G, Hedican SP, Gee JR, Bruskewitz RC, Nakada SY (2006) Meta-analysis of the complications of laparoscopic renal surgery: comparison of procedures and techniques. J Urol 175(4):1208–1213PubMedCrossRef
44.
Zurück zum Zitat Rassweiler J, Seeman O, Frede T et al (1998) Retroperitoneoscopy: experience with 200 cases. J Urol 160:1265–1269PubMedCrossRef Rassweiler J, Seeman O, Frede T et al (1998) Retroperitoneoscopy: experience with 200 cases. J Urol 160:1265–1269PubMedCrossRef
45.
Zurück zum Zitat Gill IS, Clayman RV, Albala DM et al (1998) Retroperitoneal and pelvic extraperitoneal laparoscopy: an international perspective. Urology 52(4):566–571PubMedCrossRef Gill IS, Clayman RV, Albala DM et al (1998) Retroperitoneal and pelvic extraperitoneal laparoscopy: an international perspective. Urology 52(4):566–571PubMedCrossRef
46.
Zurück zum Zitat Quintela RS, Cotta LR, Neves MF, Abelha DL Jr, Tavora JE (2006) Retroperitoneoscopic nephrectomy in benign pathology. Int Braz J Urol 32(5):521–528PubMedCrossRef Quintela RS, Cotta LR, Neves MF, Abelha DL Jr, Tavora JE (2006) Retroperitoneoscopic nephrectomy in benign pathology. Int Braz J Urol 32(5):521–528PubMedCrossRef
47.
Zurück zum Zitat Fahlenkamp D, Rassweiler J, Fornara P, Frede T, Loening SA (1999) Complications of laparoscopic procedures in urology: experience with 2, 407 procedures at 4 German Centers. J Urol 162:765–771PubMedCrossRef Fahlenkamp D, Rassweiler J, Fornara P, Frede T, Loening SA (1999) Complications of laparoscopic procedures in urology: experience with 2, 407 procedures at 4 German Centers. J Urol 162:765–771PubMedCrossRef
48.
Zurück zum Zitat Rosevear HM, Montgomery JS, Roberts WW, Wolf JS Jr (2006) Characterization and management of postoperative hemorrhage following upper retroperitoneal laparoscopic surgery. J Urol 176(4 Pt 1):1458–1462 Rosevear HM, Montgomery JS, Roberts WW, Wolf JS Jr (2006) Characterization and management of postoperative hemorrhage following upper retroperitoneal laparoscopic surgery. J Urol 176(4 Pt 1):1458–1462
49.
Zurück zum Zitat Kumar A, Gupta NP, Hemal AK (2009) A single institution experience of 141 cases of laparoscopic radical nephrectomy with cost-reductive measures. J Endourol 23(3):445–449PubMedCrossRef Kumar A, Gupta NP, Hemal AK (2009) A single institution experience of 141 cases of laparoscopic radical nephrectomy with cost-reductive measures. J Endourol 23(3):445–449PubMedCrossRef
Metadaten
Titel
Retroperitoneal renal laparoscopy
verfasst von
Rajeev Kumar
Ashok K. Hemal
Publikationsdatum
01.02.2012
Verlag
Springer Netherlands
Erschienen in
International Urology and Nephrology / Ausgabe 1/2012
Print ISSN: 0301-1623
Elektronische ISSN: 1573-2584
DOI
https://doi.org/10.1007/s11255-010-9882-9

Weitere Artikel der Ausgabe 1/2012

International Urology and Nephrology 1/2012 Zur Ausgabe

Nephrology – Letter to the Editor

Aspirin resistance in hemodialysis patients

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Echinokokkose medikamentös behandeln oder operieren?

06.05.2024 DCK 2024 Kongressbericht

Die Therapie von Echinokokkosen sollte immer in spezialisierten Zentren erfolgen. Eine symptomlose Echinokokkose kann – egal ob von Hunde- oder Fuchsbandwurm ausgelöst – konservativ erfolgen. Wenn eine Op. nötig ist, kann es sinnvoll sein, vorher Zysten zu leeren und zu desinfizieren. 

Aquatherapie bei Fibromyalgie wirksamer als Trockenübungen

03.05.2024 Fibromyalgiesyndrom Nachrichten

Bewegungs-, Dehnungs- und Entspannungsübungen im Wasser lindern die Beschwerden von Patientinnen mit Fibromyalgie besser als das Üben auf trockenem Land. Das geht aus einer spanisch-brasilianischen Vergleichsstudie hervor.

Wo hapert es noch bei der Umsetzung der POMGAT-Leitlinie?

03.05.2024 DCK 2024 Kongressbericht

Seit November 2023 gibt es evidenzbasierte Empfehlungen zum perioperativen Management bei gastrointestinalen Tumoren (POMGAT) auf S3-Niveau. Vieles wird schon entsprechend der Empfehlungen durchgeführt. Wo es im Alltag noch hapert, zeigt eine Umfrage in einem Klinikverbund.

VHF-Ablation nützt wohl nur bei reduzierter Auswurfleistung

02.05.2024 Ablationstherapie Nachrichten

Ob die Katheterablation von Vorhofflimmern bei Patienten mit Herzinsuffizienz die Komplikationsraten senkt, scheint davon abzuhängen, ob die Auswurfleistung erhalten ist oder nicht. Das legen die Ergebnisse einer Metaanalyse nahe.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.