LAPAROSCOPY IN UROLOGY
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SIMPLE NEPHRECTOMY - Page 2
The dissection is in the plain within the Gerotas
fascia , for simple nephrectomy. The kidney is lifted anteriorly to expose the hilum
posteriorly. By blunt dessection the renal artery is exposed. It is then clipped and cut
between 6 clips.
The renal vein is similarly clipped and incised between 6 clips.
Extraction of the kidney
The final appearance
At the end of surgery only 3 port wounds are seen.
So remarkably different from and open nephrectomy wound. At discharge, the patient is on a
normal diet from the 1st post operative day and is home on the 5th, fully mobile and
without any kind of analgesia!