Indian Journal of Urology
VIDEO
Year
: 2019  |  Volume : 35  |  Issue : 3  |  Page : 230--231

”Polar flip” technique for transperitoneal laparoscopic partial nephrectomy – Evolution of a novel technique for posterior hilar tumors


Mallikarjuna Chiruvella, Syed Mohammed Ghouse, Ashwin Sunil Tamhankar 
 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

Posterior hilar renal tumor extirpation by partial nephrectomy is a unique challenge for transperitoneal laparoscopy. We describe our novel technique of “polar flip” for these tumors. Kidney is rotated by around 45 -60 degrees after mobilisation so that lower pole faces anteriorly and upper pole faces posteriorly, thereby exposing the posterior surface for maneuverability. Technical highlights are hilar control, complete kidney mobilisation, initial flipping with dissection in Gil Vernet's plane to clip posterior segmental renal artery, en mass hilar clamping in normal lie, polar flipping, dissection in Gil Vernet's plane till renal sinus fat, completion of tumor excision, selective vascular ligation, renorhaphy and nephropexy.


How to cite this article:
Chiruvella M, Ghouse SM, Tamhankar AS. ”Polar flip” technique for transperitoneal laparoscopic partial nephrectomy – Evolution of a novel technique for posterior hilar tumors.Indian J Urol 2019;35:230-231


How to cite this URL:
Chiruvella M, Ghouse SM, Tamhankar AS. ”Polar flip” technique for transperitoneal laparoscopic partial nephrectomy – Evolution of a novel technique for posterior hilar tumors. Indian J Urol [serial online] 2019 [cited 2021 May 6 ];35:230-231
Available from: https://www.indianjurol.com/article.asp?issn=0970-1591;year=2019;volume=35;issue=3;spage=230;epage=231;aulast=Chiruvella;type=0