Find in Library
Search millions of books, articles, and more
Indexed Open Access Databases
Use of posterior radial nephrotomy in laparoscopic enucleation of renal hilar tumors
oleh: Mallikarjuna Chiruvella, Syed Mohammed Ghouse, Rajesh Kumar Reddy Adapala
Format: | Article |
---|---|
Diterbitkan: | Wolters Kluwer Medknow Publications 2021-01-01 |
Deskripsi
Centrally located completely endophytic renal hilar tumors pose a technical challenge, especially during a minimally invasive surgery. Relation of the tumor to the renal vasculature decides the approach. Tumors placed anterior to the vasculature can be approached in the anterior trans-hilar manner. However, tumors placed posterior to the vasculature need a posterior approach, which is quite a difficult maneuver during transperitoneal laparoscopy. Adequate exposure to access the resection plane is the key principle. We describe a laparoscopic technique for enucleation of such tumors, applying the surgical principle of radial nephrotomy in the intersegmental plane which is usually performed to remove renal stones.