Exploratory Laparotomy, Right/Left Nephrectomy, Paraaortic/Paracaval Lymph Node Dissection

  • Sara A. Mansfield
  • Jennifer H. AldrinkEmail author


This chapter describes the surgical procedure: exploratory laparotomy, right/left nephrectomy, paraaortic/paracaval lymph node dissection. The text includes an introduction that outlines the indications, risks, alternatives, essential steps, needed equipment, and variations in technique for the procedure in question. This is followed by a template operative dictation, which provides the reader with an operative report, such as is found in a patient chart or electronic medical record. A description is provided of the following critical concepts for this procedure: mobilization of the colon, dissection of the kidney, vascular control and ligation, ureteral division, and lymph node sampling.


Pediatric surgery Operative dictation Renal mass Wilms tumor Surgical oncology Nephroblastoma Open resection 

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.The Ohio State University Wexner Medical Center, Department of General SurgeryColumbusUSA
  2. 2.Nationwide Children’s Hospital, The Ohio State University College of Medicine, Division of Pediatric Surgery, Department of SurgeryColumbusUSA

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