Fasciectomy Excision of Perinephric Fat and Fascia Gerota

The kidney is bared of its coverings. As much of perirenal fat as possible is removed. This maneuver removes the perinephric group of lymphatics, which freely communicate with subcapsular group of lymphatics and drain in to the lateral aortic nodes.

FIGURE 6 ■ Stripping of hilar vessels. FIGURE 7 ■ Dissection of ureter all around with transverse sweeping movements.

FIGURE 6 ■ Stripping of hilar vessels. FIGURE 7 ■ Dissection of ureter all around with transverse sweeping movements.

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