Abstract
For radical nephrectomy, it is extremely important to get onto the psoas muscle and then develop the plane immediately anterior to it. This leads to the aorta on the left and the IVC on the right. Stay on that great vessel to take the artery first and to take the vein second. You don’t always have to do it in that order but if you are going to take the vein first, you need to be prepared for venous hypertension, i.e., bleeding from the venous staple line or from capsular incisions. This is not relevant for radical nephrectomy but can be a problem during a simple nephrectomy of a stone-bearing kidney with a lot of perirenal fibrosis.
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References
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© 2007 Springer-Verlag London Limited
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(2007). Radical Nephrectomy and Nephro-Ureterectomy. In: Kumar, U., Gill, I.S. (eds) Tips and Tricks in Laparoscopic Urology. Springer, London. https://doi.org/10.1007/978-1-84628-160-0_5
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DOI: https://doi.org/10.1007/978-1-84628-160-0_5
Publisher Name: Springer, London
Print ISBN: 978-1-84628-159-4
Online ISBN: 978-1-84628-160-0
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