Jihad H Kaouk

Section of Laparoscopic and Robotic Surgery, Glickman Urological Institute, Cleveland Clinic Foundation, Cleveland, Ohio, U.S.A.

INTRODUCTION

Retroperitoneal Approach

INDICATIONS AND CONTRAINDICATIONS

ALTERNATIVE TECHNIQUES

PERIOPERATIVE PATIENT PREPARATION

Renal Hilar Clamping

Ureteral Catheterization

Laparoscopic Renal Hypothermia

Patient Positioning

Hemostatic Techniques

Preoperative and Intraoperative Imaging

SUMMARY

SURGICAL TECHNIQUES

REFERENCES

Transperitoneal Approach

Laparoscopic partial nephrectomy is a technically advanced procedure with challenges posed when accomplishing complete tumor excision, and securing renal parenchymal hemostasis in a limited time of warm ischemia. Achieving renal hypothermia remains a technical challenge.

All patients are placed in the lithotomy position and ipsilateral ureteral catheterization is performed cystoscop-ically up to the renal pelvis.

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