By Rudolph Hohenfellner, John Fitzpatrick, Jack McAninch
Complex Urologic surgical procedure is a stimulating operative atlas which include the newest strategies, alterations, and enhancements within the box, edited through a exclusive foreign group. The textual content is split into sections; kidney and ureter bladder prostate exterior genitalia lady urology urinary diversion detailed techniquesIt is extra divided into sub-sections, every one dedicated to a selected urologic operative approach, graded in keeping with its standardisation and popularity by way of the broader surgical community.The textual content is descriptive and is complimented by means of over 800 transparent operative line illustrations offering a step by step method. the result is a thrilling survey of the sensible purposes of the most recent techniques.Joining Professor Hohenfellner as Editor is Professor John Fitzpatrick, the most famous figures at the global urology scene and the editor of major urology magazine, BJU International.In addition to John Fitzpatrick, the ebook will characteristic Professor Jack McAninch from the united states as an editor. Jack McAninch dependent at San Francisco normal health center, is one the genuine giants of yank urology, present President of the Societe Internationale d'Urologie, and prior President of the yankee Urological organization. All chapters contain a listing of key references explaining the sensible program of the most recent thoughts in urologic surgical procedure - crucial interpreting for urologists in either perform and coaching.
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Extra resources for Advanced Urologic Surgery, 3rd edition
The pressure points must be protected. • The abdomen is aligned to the edge of the operating table and the elbow is placed as cranial as possible to allow unrestricted movements for the laparoscopic instruments (Fig. 1). Port placement • The placement of ports can change depending on the surgeon’s preference. The authors use an inverted triangle (Fig. 2) with the apex (camera port) at the mid-clavicular line 2–4 cm below the surface marking of the renal hilum (transpyloric plane). • A Hasson technique is used to gain intraperitoneal access.
Explore the scarred ureter, which is usually ﬁxed in scar tissue after previous surgery. The ureter is sharply transected from the lateral abdominal wall. Ligation of the ureter should be as distal as possible, in case of persistent reﬂux close to the bladder. Prepare the ureter up to the kidney. • Resect an oval part of the renal pelvis. • Explore the contralateral kidney (hypoplastic kidney) after mobilization of the cecum and ascending colon or the descending colon. • Mobilize the kidney and ligate the kidney vessels without disturbing the adrenal gland.
B) Longitudinal opening of the ureter. 4 After positioning a ureteral stent, the spatulated ureter is anastomosed to the renal pelvis. 5 Anderson–Hynes pyeloplasty. 29 Chapter 7 Extraperitoneal Laparoscopic Radical Nephrectomy and Nephroureterectomy A. Hoznek, L. -C. Abbou Introduction Radical nephrectomy represents the gold standard treatment of kidney cancer. Its principles were described by Robson in 1963: primary ligature of the renal artery and vein, removal of the kidney together with its envelopes including Gerota’s fascia and the adrenal gland, and regional lymphadenectomy.