Laparoscopic right nephrectomy for renal cell carcinoma
Epublication WebSurg.com, Dec 2004;04(12). URL: http://websurg.com/doi/vd01en1552e
This video demonstrates a laparoscopic radical nephrectomy for renal cell cancer. The surgeon starts his dissection superiorly medially. After identifying the vena cava the renal vein is identified but not clipped. The renal artery is next identified behind the vein and clipped and then the renal vein is transected using a linear stapler. The additional lumbar vessels are then taken down to free the medial aspect of the kidney. The adrenal pedicles are then divided and the kidney and the adrenal gland are mobilized en masse from the psoas and completely freed. Minimal mobilization of the duodenum and hepatic flexure of the colon is required. The specimen is put into a bag and retrieved through an enlarged trocar incision.