Abstract
The bladder, urachus and medial umbilical ligaments, vas deferens, iliac vessels, and rectum serve as visible landmarks in the transperitoneal LRP. The exposure of prerectal fat shows the proper anatomical plane of dissection between Denonvilliers’ fascia and the rectum. An avascular plane underneath the DVC separating the urethra from the DVC must be dissected, which allows the complete identification of the prostate limits and urethra. The following landmarks should be identified in LRC: the medial umbilical ligaments, the peritoneal folds overlying the ureters close to the bladder, the vas deferens on each side (for male), the posterior cul-de-sac of the rectovesical pouch, and the iliac vessels upon initial inspection of the pelvis. The Toldt line, duodenum, and vena cava are important landmarks to expose renal hilum in right radical nephrectomy. The attachments around spleen, descending colon, and splenic flexure are important landmarks to expose the renal hilum in left radical nephrectomy. The psoas muscle is always an initial landmark and serves as a guide for subsequent longitudinal orientation in the retroperitoneal laparoscopic approach.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Walsh PC. Anatomic radical prosatatectomy: evolution of the surgical technique. J Urol. 1998;160:2418–24.
Guillonneau B, Vallancien G. Laparoscopic radical prostatectomy: the Montsouris experience. J Urol. 2000;163:418–22.
Rassweiler J, Sentker L, Seemann O, et al. Laparoscopic radical prostatectomy with the Heilbronn technique: an analysis of the first 180 cases. J Urol. 2001;166:2101–8.
van Velthoven RF, Ahlering TE, Peltire A, et al. Technique for laparoscopic running urethrovesical anastomosis: the single knot method. Urology. 2003;61:699–702.
Menon M, Tewari A, Peabody JO, et al. Vattikuti Institute prosatetectomy, a technique of robotic radical prostatectomy for management of localized carcinoma of the prostate: experience of over 1100 cases. Urol Clin N Am. 2004;31:701–17.
Su LM, Link RE, Bhayani SB, et al. Nerve-sparing radical prostatectomy: replicating the open surgical technique. Urology. 2004;64:123–7.
Kaouk JH, Gill IS, Desai MM, et al. Laparoscopic orthotopic ileal neobladder. J Endourol. 2001;15:131–42.
Simonato A, Gregori A, Lissiani A, et al. Laparoscopic radical cystoprostatecomy: a technique illustrated step by step. Eur Urol. 2003;44:132–8.
Basillote JB, Abdelshehid C, Ahlering TE, et al. Laparoscopic assisted cystectomy with ileal neobladder: a comparison with the open approach. J Urol. 2004;172:489–93.
Arroyo C, Andrews H, Rozet F, et al. Laparoscopic prostate-sparing radical cystectomy: the Montsouris technique and preliminary results. J Endourol. 2005;19:424–8.
Moinzadeh A, Gill IS, Desai M, et al. Laparoscopic radical cystectomy in female. J Urol. 2005;173:1912–7.
Clayman RV, Kavoussi LR, Soper NJ, et al. Laparoscopic nephprectomy: initial case report. J Urol. 1991;146:278–82.
Caddedu JA, Ono Y, Clayman RV, et al. Laparoscopic nephrecotmy for renal cell carcinoma: evaluation of efficacy and safety: a multi-center experience. Urology. 1998;52:773–7.
Gill IS, Meraney AM, Dk S, et al. Laparoscopic radical nephrectomy in 100 petients: a single center experience from the United State. Cancer. 2001;92:1843–55.
Winfield HN, Hamilton BD, Bravo EL. Technique of laparoscopic adrenalectomy. Urol Clin North Am. 1997;24:459–65.
Terachi T, Matsuda T, Terai A, et al. Transperitoneal laparoscopic adrenalectomy: experience in 100 patients. J Endourol. 1997;11:361–5.
Del Pizzo JJ, Schichman SJ, Sosa RE. Laparoscopic adrenalectomy: the New York-Presbyterian Hospital experience. J Endourol. 2002;16:591–7.
Chiw AW. Laparoscopic retroperitoneal adrenalectomy: clinical experience with 120 consecutive cases. Asian J Surg. 2003;26:139–44.
Micali S, Peluso G, de Stefani S, et al. Laparoscopic adrenal surgery: New frontiers. J Endourol. 2005;19:272–8.
Rubinstein M, Gill IS, Aron M, et al. Prospective, randomized comparison of transperitoneal versus retroperitoneal adrenalectomy. J Urol. 2005;174:442–5.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2012 Springer-Verlag London
About this chapter
Cite this chapter
Sung, G.T., Kim, T.H. (2012). Anatomic Planes and Landmarks in Urologic Laparoscopy. In: Sun, Y., Smith, A., Yang, B. (eds) The Training Courses of Urological Laparoscopy. Springer, London. https://doi.org/10.1007/978-1-4471-2723-9_11
Download citation
DOI: https://doi.org/10.1007/978-1-4471-2723-9_11
Published:
Publisher Name: Springer, London
Print ISBN: 978-1-4471-2722-2
Online ISBN: 978-1-4471-2723-9
eBook Packages: MedicineMedicine (R0)