Step 3 Operative Exposure

For the transperitoneal approach, the ipsilateral colon is reflected medially to expose Gerota's fascia. The remainder of the procedure is identical for the transperitoneal and retroperitoneal approaches. Gerota's fascia is entered to expose the cortical surface of the kidney in the suspected area of the diverticulum. Limited exposure over the diver-ticulum is sufficient if there is a direct angle of approach. However, when suboptimal angles exist, completely mobilize and rotate the kidney.

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