Indications And Contraindications

The indications for laparoscopic retroperitoneal radical nephrectomy are similar to the indications for open radical nephrectomy, namely the presence of a renal mass not amenable to a partial nephrectomy.

In comparison to the transperitoneal approach, the retroperitoneal approach has some potential relative advantages and indications. These advantages include the following: (i) patients on peritoneal dialysis, who can continue peritoneal dialysis uninterrupted after the retroperitoneal approach and (ii) patients with extensive prior ipsilateral surgery in the quadrant of interest, which may result in problematic intraabdominal peritoneal adhesions.

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