Step 1 Peritoneal Incision and Pararenal Dissection

The line of Toldt is incised, and the colon is reflected medially to expose the entire kidney. In general, the descending colon needs to be mobilized up to the aorta and the ascending colon up to the duodenum. At this point, the Gerota's fascia is incised and both the Gerota's fascia and the perinephric fat are reflected. The kidney is then completely mobilized, and the renal pelvis and ureter exposed. Blunt dissection is performed along the posterior wall of the retroperitoneum to expose the fascia overlying the psoas and quadratus lumborum muscles.

0 0

Post a comment