Dangerous deliveries: lessons learned during retroperitoneal specimen retrieval


      Laparoscopy is now a standard technique in pediatric surgery and urology. Unique complications have been reported during port/instrument insertion and dissection, often relating to issues of visibility or working space. Complications during specimen retrieval are currently unreported. We describe our experience of 2 serious complications occurring during attempted retrieval of a specimen through a port site at the end of the laparoscopic procedure.

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        • Gaur D.
        Laparoscopic operative retroperitoneoscopy: use of a new device.
        J Urol. 1992; 148: 1137-1139
        • Liapis D.
        • de la Taille A.
        • Ploussard G.
        • et al.
        Analysis of complications from 600 retroperitoneoscopic procedures of the upper urinary tract during the last 10 years.
        World J Urol. 2008; 26: 523-530
        • Kim C.
        • McKaya K.
        • Docimoa S.G.
        Laparoscopic nephrectomy in children: systematic review of transperitoneal and retroperitoneal approaches.
        Urol. 2009; 73: 280-284
        • Esposito C.
        • Valla J.S.
        • Yeung C.K.
        Current indications for laparoscopy and retroperitoneoscopy in pediatric urology.
        Surg Endosc. 2004; 18: 1559-1564
        • Steyaert H.
        • Juricic M.
        • Hendrice C.
        • et al.
        Retroperitoneoscopic approach to the adrenal glands and retroperitoneal tumours in children: where do we stand?.
        Eur J Pediatr Surg. 2003; 13: 112-115
        • Valla J.S.
        • Breaud J.
        • Carfagna L.
        • et al.
        Treatment of ureterocele on duplex ureter: upper pole nephrectomy by retroperitoneoscopy in children based on a series of 24 cases.
        Eur Urol. 2003; 43: 426-429
        • El-Ghonemi A.
        • Valla J.S.
        • Steyaert H.
        • et al.
        Laparoscopic surgery via a retroperitoneal approach in children.
        J Urol. 1998; 160: 1138-1141
        • Valla J.S.
        Retroperitoneoscopic surgery in children.
        Semin Pediatr Surg. 2007; 16: 270-277
        • Rassweiler J.J.
        • Seemann O.
        • Frede T.
        • et al.
        Retroperitoneoscopy: experience with 200 cases.
        J Urol. 1998; 160: 1265-1269
        • Meraney A.M.
        • Samee A.A.
        • Gill I.S.
        Vascular and bowel complications during retroperitoneal laparoscopic surgery.
        J Urol. 2002; 168: 1941-1944
        • Schwartz M.J.
        • Faiena I.
        • Cinman N.
        • et al.
        Laparoscopic bowel injury in retroperitoneal surgery: Current incidence and outcomes.
        J Urol. 2010; 184: 589-594
        • Deizel D.J.
        Principles of specimen retrieval.
        in: Scott-Conner C.E.H. The SAGES manual: fundamentals of laparoscopy, thoracoscopy, and GI endoscopy. 2nd ed. Springer, 2006: 76