Specimen Retrieval

The kidney is grasped with heavy laparoscopic forceps (Babcock forceps introduced through the fourth port, if present, are ideal). The specimen is held away from the renal bed, which is then inspected for bleeding. This inspection should always be performed at low intra-abdominal pressure, to ensure that venous bleeding is not masked. Swabbing the renal bed with a gauze roll (mastoid swab) will demonstrate any small vessels that require control. The pneumoperitoneum is reestablished, and a laparo-scopic entrapment bag is inserted through the inferior port and the specimen carefully placed within it. The bag is withdrawn and the specimen removed by extending the trocar site or morcellation.

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