title: Simultaneous laparoscopic adrenalectomy and laparoscopic nephron-sparing surgery - new experience with port placement.
abstract: The aim of the study was to describe simultaneous laparoscopic adrenalectomy and laparoscopic nephron-sparing surgery, to discuss the details of a convenient laparoscopic approach and the way of port placement, as well as to present a review of the literature concerning combined laparoscopic procedures. A 72-year-old woman was admitted to our department because of a tumor of the right adrenal gland and a small tumor of the right kidney. The patient underwent simultaneous laparoscopic adrenalectomy and laparoscopic nephron-sparing surgery. The postoperative period was uncomplicated. The patient was discharged from the hospital on the 4(th) postoperative day. We believe that the proposed way of trocar placement would help to avoid a 'rollover' problem between the laparoscope and a Satinsky clamp or a 'crossing swords' problem between a Satinsky clamp and manipulators.
authors: Clinical Department of Urology, 4 Clinical Military Hospital, Wroclaw, Poland.
authors: Wojciech
authors: W
authors: Panek
authors: Clinical Department of Urology, 4 Clinical Military Hospital, Wroclaw, Poland ; Department of Palliative Care Nursing, Wroclaw Medical University, Wroclaw, Poland.
authors: Tomasz
authors: T
authors: Szydelko
authors: Clinical Department of Urology, 4 Clinical Military Hospital, Wroclaw, Poland.
authors: Jaroslaw
authors: J
authors: Lewandowski
authors: Clinical Department of Urology, 4 Clinical Military Hospital, Wroclaw, Poland.
authors: Tomasz
authors: T
authors: Tuchendler
authors: Clinical Department of Urology, 4 Clinical Military Hospital, Wroclaw, Poland.
authors: Grzegorz
authors: G
authors: Urbańczyk
authors: Clinical Department of Urology, 4 Clinical Military Hospital, Wroclaw, Poland.
authors: Adam
authors: A
authors: Litarski
authors: Department of Pediatric Surgery and Urology, Wroclaw Medical University, Wroclaw, Poland.
authors: Wojciech
authors: W
authors: Apoznański
keywords: laparoscopic NSS; laparoscopic adrenalectomy; simultaneous management