Use of posterior radial nephrotomy in laparoscopic enucleation of renal hilar tumors

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....

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Bibliographic Details
Published in:Indian journal of urology 2021-01, Vol.37 (1), p.92-94
Main Authors: Chiruvella, Mallikarjuna, Ghouse, Syed Mohammed, Adapala, Rajesh Kumar Reddy
Format: Article
Language:English
Subjects:
Laparoscopic surgery
Laparoscopy
Minimally invasive surgery
Tumors
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Summary: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.
ISSN:0970-1591
1998-3824
DOI:10.4103/iju.IJU_340_19