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| Year : 2021 | Volume
: 37
| Issue : 1 | Page : 92-94 |
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Use of posterior radial nephrotomy in laparoscopic enucleation of renal hilar tumors
Mallikarjuna Chiruvella, Syed Mohammed Ghouse, Rajesh Kumar Reddy Adapala
Department of Urology, Asian Institute of Nephrology and Urology, Hyderabad, Telangana, India
Correspondence Address:
Syed Mohammed Ghouse
Department of Urology, Asian Institute of Nephrology and Urology, Hyderabad, Telangana
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/iju.IJU_340_19
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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.
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