Thursday, June 2, 2011

LAPAROSCOPIC RADICAL NEPHRECTOMY FOR EXOPHYTIC MIDPOLAR RENAL MASSA












A 70-year old gentleman came with incidentally detected right renal mass( on USG scan done for urinary retention).He was investigated with staging work up including triphasic CT Scan which revealed enhancing mass around 5 cm in midpolar region with both exophytic and endophytic component.



After explaining to the patient the options of both laparoscopic partial nephrectomy and radical nephrectomy he opted for laparoscopic radical nephrectomy.



Laparoscopic surgery was done with 5 port approach and the specimen was removed by a small right iliac fossa incision.









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