Qian Zhang, MD, PhD, presented “Retroperitoneoscopic Kidney Surgery Tips and Tricks” for the Grand Rounds in Urology audience in November 2021.
How to cite: Zhang, Qian. “Retroperitoneoscopic Kidney Surgery Tips and Tricks.” November 2021. Accessed Nov 2024. https://grandroundsinurology.com/retroperitoneoscopic-kidney-surgery-tips-and-tricks/
Retroperitoneoscopic Kidney Surgery Tips and Tricks – Summary
As part of Grand Rounds in Urology’s ongoing series highlighting urologists working in Asia, Qian Zhang, MD, PhD, Professor and Vice Director in the Department of Urology at Peking University First Hospital in Peking, China, presents surgical tips and tricks for performing retroperitoneoscopic kidney surgery. After an introduction by Peter K.F. Chiu, MD, PhD, FRCSEd, Associate Professor of Urology at the S.H. Ho Urology Centre of the Chinese University of Hong Kong, Prof. Qian goes over the advantages of the retroperitoneal versus the transperitoneal approach, highlighting the shorter operation time, the ability to directly control the renal artery, and the lack of gastrointestinal interference. He also discusses some improvements to patient positioning, including placing the patient’s head as far forward as possible while placing their hip as far back as possible. Dr. Qian then looks at trocar placement and considers the importance of practicing 6 basic surgical skills, including cut, twist, rip, open up, pull, and push. He summarizes the 3-step and 2-step methods of needle adjustment, and then follows this by showing videos demonstrating his 6-step partial nephrectomy technique. The 6 steps include: (1) open fascia; (2) find tumor; (3) artery dissection; (4) tumor resection; (5) surface suture; and (6) unblock artery. Dr. Qian also shares some tips and tricks, focusing on his blocking method. The presentation concludes with a question and answer session led by Dr. Chiu.
ABOUT THE AUTHOR
Qian Zhang, MD, PhD, is the Vice Director of the Department of Urology of Peking University First Hospital, as well as Vice Director of the Institute of Urology of Peking University. He is also the President of Peking University Bin Hai Hospital. He is one of the top experts in laparoscopic urological surgery in China and has many publications on the tips and tricks of retroperitoneoscopic surgery. He has been a pioneer in refining laparoscopic techniques and has written a book called Laparoscopic Surgery in Urology which is widely read by Chinese urologists. He has been a keen educator and has traveled to more than 200 cities in China and numerous Asian countries to perform live demonstrations of laparoscopic surgery.
