title: [Endoscopy-assisted renovascular surgery].
abstract: OBJECTIVE
  Laparoscopic surgery still has many impediments which render it impracticable or very difficult in many cases. In this article we describe in the laboratory the possibilities of performing it helped with a hand that has previously been introduced in the abdomen through a minilaparotomy.
  
  
  METHODS
  Once the animal is in the lateral decubitus position, a longitudinal suprapubic incision of some 5 cm is done, through which the surgeons left hand is introduced. Then, together with the instruments, the kidney, its vessels, the aorta and vena cava are dissected. In one case the left renal artery was temporally clamped, divided and then sutured.
  
  
  RESULTS
  This minimally invasive technique allowed in all the cases to accurately perform the operation in a very short time and with minimal risk.
  
  
  CONCLUSIONS
  The main indication of this technique are the cases in which a large incision is required, as in large renal tumors or testicular cancer surgery. It is particularly useful in previously operated patients, or if a complication arises during a laparoscopy, or if a minilaparotomy is required as, in ileal conduits. This procedure also opens the door to a new approach to renovascular surgery.
authors.affiliation: Departamento de Cirugía del Hospital Materno Infantil, Málaga, España.
authors.forename: E
authors.initials: E
authors.lastname: Sánchez de Badajoz
authors.forename: J
authors.initials: J
authors.lastname: Gómez de la Cruz
authors.forename: A
authors.initials: A
authors.lastname: Jiménez Garrido
authors.forename: A
authors.initials: A
authors.lastname: Ruiz Orpez
mesh_terms: D000818:Animals; D007668:Kidney / Q000098:blood supply* / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D009392:Nephrectomy / Q000379:methods*; D013552:Swine; D014656:Vascular Surgical Procedures / Q000379:methods
vernacular_title: Cirugía vasculorrenal endoscópicamente asistida.