V1078 LEFT LAPAROSCOPIC RADICAL NEPHRECTOMY: STEP-BY-STEP (2013)

You have accessJournal of UrologyRenal Oncology1 Apr 2013V1078 LEFT LAPAROSCOPIC RADICAL NEPHRECTOMY: STEP-BY-STEP Rene Sotelo, Oswaldo Carmona, Robert De Andrade, Flavio Santinelli, David Subira, Cesar Ignacio, Golena Fernández, Roberto Garza, Juan Castro, Frédéric Birkhäuser, Roberto Cisneros, David Canes, and Ralph Clayman Rene SoteloRene Sotelo Caracas, Venezuela More articles by this author , Oswaldo CarmonaOswaldo Carmona Caracas, Venezuela More articles by this author , Robert De AndradeRobert De Andrade Caracas, Venezuela More articles by this author , Flavio SantinelliFlavio Santinelli Buenos Aires, Argentina More articles by this author , David SubiraDavid Subira Madrid, Spain More articles by this author , Cesar IgnacioCesar Ignacio Caracas, Venezuela More articles by this author , Golena FernándezGolena Fernández Caracas, Venezuela More articles by this author , Roberto GarzaRoberto Garza Caracas, Venezuela More articles by this author , Juan CastroJuan Castro Caracas, Venezuela More articles by this author , Frédéric BirkhäuserFrédéric Birkhäuser Caracas, Venezuela More articles by this author , Roberto CisnerosRoberto Cisneros Caracas, Venezuela More articles by this author , David CanesDavid Canes Burlington, MA More articles by this author , and Ralph ClaymanRalph Clayman Irvine, CA More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.02.669AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Two decades after its introduction, laparoscopic radical nephrectomy is now a standard of care for amenable tumors up to stage T3, and for cytoreductive nephrectomy. The current challenge is appropriately educating practicing urologists and urology trainees in the appropriate techniques to minimize complications. As such, one obstacle is that urologists may never actually witness the most feared complications arising from a given step until they are suddenly faced with the prospect of expeditiously handling them. METHODS An international collaboration allowed us to collect multiple videos exemplifying not only proper techniques for left sided nephrectomy, but also complicaitons pertinent to each step. The authors compiled their collective experience to offer tips regarding surgical planning, technical maneuvers pertinent to each step, warnings, potential complications, and their management. RESULTS This educational video demonstrates the perfomance of a conventional left laparoscopic radical nephrectomy. Pertinent complications demonstrated include splenic injury, diaphragm injury with pneumothorax, superior mesenteric artery ligation, stapler malfunction, and bile duct injury. CONCLUSIONS The gold standard treatment in certain upper urinary tract neoplasms is radical nephrectomy and the laparoscopic approach has demonstrated advantages compare with open approach. This unique educational video was compiled demonstrating both the proper technical maneuvers, alongside those leading to major complications. We hope this serves as a didactic tool to use in conjuction with simulator based education and hands-on live training. © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 189Issue 4SApril 2013Page: e443 Peer Review Report Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.MetricsAuthor Information Rene Sotelo Caracas, Venezuela More articles by this author Oswaldo Carmona Caracas, Venezuela More articles by this author Robert De Andrade Caracas, Venezuela More articles by this author Flavio Santinelli Buenos Aires, Argentina More articles by this author David Subira Madrid, Spain More articles by this author Cesar Ignacio Caracas, Venezuela More articles by this author Golena Fernández Caracas, Venezuela More articles by this author Roberto Garza Caracas, Venezuela More articles by this author Juan Castro Caracas, Venezuela More articles by this author Frédéric Birkhäuser Caracas, Venezuela More articles by this author Roberto Cisneros Caracas, Venezuela More articles by this author David Canes Burlington, MA More articles by this author Ralph Clayman Irvine, CA More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...