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Laparoscopic approach to the left kidney avoiding colonic mobilization
1Department of Surgery, University of Queensland, Princess Alexandra Hospital, Brisbane, Australia.
The Journal of Urology
|December 1, 1994
Summary
Laparoscopic left kidney removal is simplified by creating a window in the mesocolon, avoiding colon mobilization. Preoperative stenting aids removal of hydronephrotic kidneys using this transperitoneal approach.
Area of Science:
- Urology
- Minimally Invasive Surgery
Background:
- Laparoscopic nephrectomy is a standard procedure.
- Mobilization of the left colon can be challenging during laparoscopic left nephrectomy.
Purpose of the Study:
- To describe a novel technique for laparoscopic left kidney removal.
- To simplify the procedure by avoiding left colon mobilization.
Main Methods:
- Transperitoneal approach.
- Creation of a window in the mesocolon lateral to the inferior mesenteric vein.
- Securing renal vessels through the window.
- Optional preoperative stenting for hydronephrotic kidneys.
Main Results:
- The described technique allows for laparoscopic left kidney removal.
- Renal vessels are accessed and secured through the mesocolonic window.
- Left colon mobilization is not required.
- Preoperative stenting facilitates the removal of hydronephrotic kidneys.
Conclusions:
- This technique offers a simplified approach to laparoscopic left nephrectomy.
- It potentially reduces operative time and complications associated with colon mobilization.