Laparoscopic transperitoneal upper moiety nephroureterectomy for renal duplications in pediatric patients

Dividing upper moiety vessels

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The pair of vessels going to upper moiety is visualised and is divided using harmonic scalpel. These further releases any form of anchoring of the tissue and a clear plane of cleavage is seen between the upper and lower moiety. This will help to further dissect between the two and remove the upper moiety.

Keywords

  • Upper Moeity
  • Lower Moeity

Conflict of Interest

The author declares no conflict of interest.

About this video

Author(s)
Ravi P. Kanojia
First online
14 April 2021
DOI
https://doi.org/10.1007/978-981-16-1798-0_6
Online ISBN
978-981-16-1798-0
Publisher
Springer, Singapore
Copyright information
© The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd. 2021

Video Transcript

Now we are dividing the upper moiety vessels. The– we are using the harmonic scalpel over here. Again, it cannot be stressed more than enough that this is very important step and you have to spare the renal vein, which is lying underneath, and you cannot afford to injure the vessel.

So now the vessel has gone. Once the vessel is divided, the renal– main renal pedicle is going to fall further down and away from your area of dissection. And you will be able to safely excise it. We’ll continue the use of harmonic scalpel to divide between the parenchyma.