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Surgical Techniques Development
Volume 3
Issue 1
10.4081/std.2013.e3
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Surgical Techniques Development is published by MDPI from Volume 11 Issue 1 (2022). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Article

Retroperitoneal Hand-Assisted Laparoscopic Nephrectomy and Partial Nephrectomy

by
Nosratollah Nezakatzgoo
,
Janet L. Colli
*,
Matthew Mutter
,
Sheg Aranmolate
and
Robert Wake
Department of Urology, University of Tennessee Health Science Center, 910 Madison Avenue, Room 409, Memphis, TN 38163, USA
*
Author to whom correspondence should be addressed.
Surg. Tech. Dev. 2013, 3(1), e3; https://doi.org/10.4081/std.2013.e3
Submission received: 22 May 2013 / Revised: 5 September 2013 / Accepted: 12 September 2013 / Published: 7 November 2013

Abstract

The purpose of the present paper is to describe our technique and experience with retroperitoneal hand-assisted laparoscopic (HAL) nephrectomies as an alternative to the transperitoneal approach. Eight retroperitoneal HAL nephrectomies and one partial nephrectomy were performed. Several excisional techniques were employed incorporating the Harmonic scalpel or Ligasure device. Hemostatic agents were used to cover the renal defect. Surgical bolsters were sutured to the renal capsule with pleget reinforcements to aid in hemostasis. The average operative time was 210 min and estimated blood loss 110 mL. Mean change in hematocrit was 3 units and creatinine was 1 point. No patient required a transfusion. There were no major complications, with a mean follow-up of fourteen months. On average, patients resumed oral intake in 2 days, and were discharged in 3 days. Pathological examination revealed that two lesions were benign and seven malignant. Tumor diameter averaged 3 cm. There were no positive surgical margins. In conclusion, we have demonstrated the feasibility of retroperitoneal laparoscopic hand-assisted nephrectomy and partial nephrectomy surgery for solid renal masses.
Keywords: laparoscopic; nephrectomy; surgical procedure laparoscopic; nephrectomy; surgical procedure

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MDPI and ACS Style

Nezakatzgoo, N.; Colli, J.L.; Mutter, M.; Aranmolate, S.; Wake, R. Retroperitoneal Hand-Assisted Laparoscopic Nephrectomy and Partial Nephrectomy. Surg. Tech. Dev. 2013, 3, e3. https://doi.org/10.4081/std.2013.e3

AMA Style

Nezakatzgoo N, Colli JL, Mutter M, Aranmolate S, Wake R. Retroperitoneal Hand-Assisted Laparoscopic Nephrectomy and Partial Nephrectomy. Surgical Techniques Development. 2013; 3(1):e3. https://doi.org/10.4081/std.2013.e3

Chicago/Turabian Style

Nezakatzgoo, Nosratollah, Janet L. Colli, Matthew Mutter, Sheg Aranmolate, and Robert Wake. 2013. "Retroperitoneal Hand-Assisted Laparoscopic Nephrectomy and Partial Nephrectomy" Surgical Techniques Development 3, no. 1: e3. https://doi.org/10.4081/std.2013.e3

APA Style

Nezakatzgoo, N., Colli, J. L., Mutter, M., Aranmolate, S., & Wake, R. (2013). Retroperitoneal Hand-Assisted Laparoscopic Nephrectomy and Partial Nephrectomy. Surgical Techniques Development, 3(1), e3. https://doi.org/10.4081/std.2013.e3

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