Access for retroperitoneoscopy is unique in relation to that for transperitoneal laparoscopy, albeit the careful procedure for the last methodology is well established.7 Many strategies for building up the retroperitoneal hole have been proposed, like the utilization of an inflatable catheter, swell trocar framework, and finger analyzation. Be that as it may, these procedures have inadequacies, for example, air spillage, swell break, dying, peritoneal burst, and requiring stitches or costly materials. No single strategy has been demonstrated to be ideal, particularly for large patients.8 Some creators have proposed the immediate insufflation technique with a 14-measure Veress needle to make a pneumoretroperitoneum. In any case, their ensuing activities were as yet mind boggling. In this investigation, we propose a novel basic technique for setting up the retroperitoneal space and security was surveyed by a processed tomography (CT) filter in the horizontal decubitus position. CT filters in the horizontal prostrate position demonstrate that there are no instinctive and huge veins on the cut way. The sweeps likewise give a window to embeddings the first trocar indiscriminately into the retroperitoneum. A high achievement rate and low confusion rate were noticed clinically for the immediate cut passage technique. We consider the immediate cut passage strategy to be a straightforward, compelling, and safe approach to set up the retroperitoneal hole.

Reference link- https://www.liebertpub.com/doi/10.1089/end.2019.0699