Michael Grasso III

Department of Urology, St. Vincent's Catholic Medical Center, New York, New York, U.S.A.

INTRODUCTION

Initial Intraoperative Steps and Patient

INDICATIONS FOR SURGICAL INTERVENTION

Positioning

USING A TRANSPERITONEAL

Port Placement Schemes

LAPAROSCOPIC APPROACH

CAVEATS

CONTRAINDICATIONS TO LAPAROSCOPIC

Technical Surgical Steps

RADICAL NEPHRECTOMY

RESULTS

PREOPERATIVE EVALUATION

SUMMARY

SURGICAL TECHNIQUE

REFERENCES

In the early published series of laparoscopic radical nephrectomy, a tumor size of 8 cm was a relative cutoff. In reality, larger lesions and, in fact, many complex and bulky lesions can be addressed laparoscopically.

In adults, there is no age limit for laparoscopic radical nephrectomy. It has become a standard therapy for the elderly and even the oldest patients presenting with an indication for surgical intervention being treated in this fashion.

0 0

Post a comment