Supramesocolic access to the left renal pedicle: anatomical and surgical description.
OBJECTIVE
To expose and remind the supamesocolic approach to the left renal pedicle, in addition to review its main indications.


RESULTS
We perform a detailed description of the surgical technique showing its indications, the position, the incision and retraction systems employed, detailing the steps followed during dissection.


CONCLUSIONS
Adequate vascular control and complete resection of large renal and adrenal masses require an adequate exposition; the knowledge of surgical techniques such as supramesocolic approach to the left renal pedicle is very useful and may ease the course of retroperitoneal operations avoiding complications and giving comfort in a frequently difficult operation.
Servicio de Urologia.Complejo Hospitalario Universitario de Albacete. Facultad de Medicina de la UCLM. Albacete. Spain.
Julio A
JA
Virseda Rodriguez
Servicio de Urologia. Hospital General Villarobledo. Albacete.Spain.
Jesus
J
Martinez-Ruiz
Servicio de Urologia.Complejo Hospitalario Universitario de Albacete. Facultad de Medicina de la UCLM. Albacete. Spain.
Pedro
P
Carrion-Conde
Servicio de Urologia.Complejo Hospitalario Universitario de Albacete. Facultad de Medicina de la UCLM. Albacete. Spain.
Miguel
M
Peran-Teruel
Servicio de Urologia.Complejo Hospitalario Universitario de Albacete. Facultad de Medicina de la UCLM. Albacete. Spain.
Pedro J
PJ
Fernandez Anguita
D000310:Adrenal Gland Neoplasms / Q000601:surgery; D004210:Dissection / Q000379:methods; D006488:Hemostasis, Surgical; D006801:Humans; D007668:Kidney / Q000293:injuries / Q000601:surgery*; D007680:Kidney Neoplasms / Q000601:surgery; D008197:Lymph Node Excision / Q000379:methods; D056888:Patient Positioning; D019106:Postoperative Hemorrhage / Q000517:prevention & control; D012077:Renal Artery / Q000601:surgery; D013520:Urologic Surgical Procedures; D014656:Vascular Surgical Procedures; D014947:Wounds and Injuries / Q000601:surgery