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Laparoscopic Nephrectomy: Initial Case Report

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Presentation on theme: "Laparoscopic Nephrectomy: Initial Case Report"— Presentation transcript:

1 Laparoscopic Nephrectomy: Initial Case Report
Ralph V. Clayman, Louis R. Kavoussi, Nathaniel J. Soper, Stephen M. Dierks, Shimon Meretyk, Michael D. Darcy, Frederick D. Roemer, Edward D. Pingleton, Paul G. Thomson, Stephenie R. Long  The Journal of Urology  Volume 197, Issue 2, Pages S182-S186 (February 2017) DOI: /j.juro Copyright © 1991 American Urological Association, Inc. Terms and Conditions

2 Fig. 1 Preoperative CT scan reveals 3 cm. renal mass (arrows) occupying lateral border of mid portion of right kidney. Right kidney measures 6.5 x 8.5 x 6.5 cm. The Journal of Urology  , S182-S186DOI: ( /j.juro ) Copyright © 1991 American Urological Association, Inc. Terms and Conditions

3 Fig. 2 Preoperative angiogram reveals single renal artery with 5 segmental branches (small arrows) supplying kidney and vascularized renal mass (large arrows). The Journal of Urology  , S182-S186DOI: ( /j.juro ) Copyright © 1991 American Urological Association, Inc. Terms and Conditions

4 Fig. 3 A, intraoperative view of kidney completely freed from its retroperitoneal attachments and vascular supply. Kidney is suspended from renal hilus via 5 mm. grasper passed through 1 abdominal sheath. B, intraoperative view of kidney placed into nylon surgical sack. The Journal of Urology  , S182-S186DOI: ( /j.juro ) Copyright © 1991 American Urological Association, Inc. Terms and Conditions

5 Fig. 4 Gross specimen of right kidney. Specimen weighed 190 gm. Renal parenchyma is to left side and suspected fragments of tumor are on right side. The Journal of Urology  , S182-S186DOI: ( /j.juro ) Copyright © 1991 American Urological Association, Inc. Terms and Conditions

6 Fig. 5 On postoperative day 2 CT scan at level of lower pole of left kidney (arrow) reveals absence of right kidney and minimal amount of intraperitoneal fluid. Abdominal wall on right side is mildly thickened. The Journal of Urology  , S182-S186DOI: ( /j.juro ) Copyright © 1991 American Urological Association, Inc. Terms and Conditions

7 Fig. 6 Abdomen 10 days after laparoscopic nephrectomy. Long arrow denotes umbilicus. Closed arrows show 5 mm. trocar site. Open arrows show 11 mm. trocar sites. The Journal of Urology  , S182-S186DOI: ( /j.juro ) Copyright © 1991 American Urological Association, Inc. Terms and Conditions


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