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CT scan of the abdomen Huge mass lesion Left hemoperitoneum, to consider renal malignancy. Infiltration of the colon cannot be ruled out. Partial small.

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Presentation on theme: "CT scan of the abdomen Huge mass lesion Left hemoperitoneum, to consider renal malignancy. Infiltration of the colon cannot be ruled out. Partial small."— Presentation transcript:

1 CT scan of the abdomen Huge mass lesion Left hemoperitoneum, to consider renal malignancy. Infiltration of the colon cannot be ruled out. Partial small bowel obstruction and minimal left pleural effusion.

2 Left nephrectomy with left hemicolectomy March 3, 2011

3 Operative Technique 1. GETA 2. Asepsis and antispesis 3. Sterile draping 4. Midline excision 5. Exploration 6. Adhesiolysis 7. En bloc excision of mass 8. Left hemicolectomy 9. Left nephrectomy 10. End to end primary anastomosis 11. Hemostasis 12. Placement of clips 13. JP drain placement 14. Closure layer by layer 15. Sterile dressing

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12 OR Findings Retroperitoneal mass with multinodular with solid and cystic component approximately 30 x 28 x 30 cm. Left middle colic artery, descending colon, left ureter and left kidney were noted to be adherent to the mass.

13 HISTOPATH PICS


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