Transperitoneal laparoscopic
radical nephrecotmy
using LigaSure 10 mm
Laparoscopic radical nephrectomy represents gold standard for localized renal tumor.
Technical innovations and expansion of the indications make it feasible also in the patient at risk
and difficult.
PATIENTS&METHODS
Patient aged 70 with neoformation in the upper pole of the left kidney, performed left
transperitoneal nephrectomy with 4 access.
Lifting of fatty tissue to expose psoas muscle, exposure of renal hilum.
Dissection of the ureter.
Identification of the renal vein and renal hilum exposed.
Renal artery exposed.
2 Hem-o-lok® clips are applied to the renal artery.
Take care with the lumbar vein that drain posterior to the renal vein.
2 Hem-o-lok® clips are applied to renal vein.
Mobilization of the kidney.
Ending dissection of the hilum vessels.
Complete mobilization of the upper kidney near the splenic diaphragm.
Kidney is placed intact inside the Endo Catch®.
Extraction of the specimen.
Closure of the Abdominal Wall.
RESULTS&CONCLUSIONS
Operative time 2-3 hours
No intra- peri- & post-operative complications
No post-operative pain and
No blood transfusions, day 4 discharge
Laparoscopic radical nephrectomy
represents gold standard for localized
renal tumor in patients with
complicated disease and at risk,
not only for the advantages of the
laparoscopic technique but
above all for possible and frequent
haemorrhagic complications.