Total nephrectomy in children by a lateral retroperitoneoscopic approach
Epublication WebSurg.com, Jan 2007;07(01). URL: http://websurg.com/doi/vd01en2054
This didactic video demonstrates the retroperitoneal approach to nephrectomy in children. A simple technique for creation of the retroperitoneal space and different methods of dissection, vessel division and specimen extraction are presented. These techniques are applicable for use in patients ranging from infants to adolescents. The tip of the telescope progressively enlarges the working space created in the retroperitoneoscopic approach. This frees retroperitoneal fibrous tissues behind the kidney. The authors place two additional ports under direct vision: one to gently sweep the peritoneum anteriorly and to increase the working space for the placement of a third trocar.