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Year : 2021  |  Volume : 37  |  Issue : 1  |  Page : 92-94

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


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
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Source of Support: None, Conflict of Interest: None


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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