Laparoscopic partial nephrectomy in upper-pole apical renal tumor using gauze sling and flexible laparoscope.
Upper-pole apical renal tumors are difficult to see using conventional rigid laparoscopes during laparoscopic partial nephrectomy. Added to this, the instrument angle makes tumor excision and kidney reconstruction difficult. We therefore elevated the kidney using a gauze sling and observed the lesion through a flexible laparoscope. With a clear field of vision, we could excise tumors and repair the kidney more easily.
Kim
Taek Sang
TS
Department of Urology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Hattori
Ryohei
R
Yoshino
Yasushi
Y
Komatsu
Tomonori
T
Matsukawa
Yoshihisa
Y
Gotoh
Momokazu
M
Ono
Yoshinari
Y
D000328:Adult; D000368:Aged; D002292:Carcinoma, Renal Cell / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology / Q000601:surgery*; D020706:Laparoscopes; D010535:Laparoscopy / Q000379:methods*; D008279:Magnetic Resonance Imaging; D008297:Male; D009392:Nephrectomy / Q000295:instrumentation / Q000379:methods*; D015503:Surgical Sponges; D014057:Tomography, X-Ray Computed