laparoscopic nephrectomy - world laparoscopy hospital

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Laparoscopic Nephrectomy R.K.Mishra World Laparoscopy Hospital

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Page 1: Laparoscopic Nephrectomy - World Laparoscopy Hospital

Laparoscopic

Nephrectomy

R.K.Mishra

World Laparoscopy Hospital

Page 2: Laparoscopic Nephrectomy - World Laparoscopy Hospital

Anatomy

World Laparoscopy Hospital

Page 3: Laparoscopic Nephrectomy - World Laparoscopy Hospital

Anatomy

World Laparoscopy Hospital

Page 4: Laparoscopic Nephrectomy - World Laparoscopy Hospital

Vascular Structures

World Laparoscopy Hospital

Page 5: Laparoscopic Nephrectomy - World Laparoscopy Hospital

Patient Position

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Page 6: Laparoscopic Nephrectomy - World Laparoscopy Hospital

O.T. Setup

World Laparoscopy Hospital

Page 7: Laparoscopic Nephrectomy - World Laparoscopy Hospital

Port Position

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Page 8: Laparoscopic Nephrectomy - World Laparoscopy Hospital

Left Nephrectomy

World Laparoscopy Hospital

Page 9: Laparoscopic Nephrectomy - World Laparoscopy Hospital

Mobilization

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Page 10: Laparoscopic Nephrectomy - World Laparoscopy Hospital

Coloparietal Mobilization

World Laparoscopy Hospital

Page 11: Laparoscopic Nephrectomy - World Laparoscopy Hospital

Mobilization of Colon

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Page 12: Laparoscopic Nephrectomy - World Laparoscopy Hospital

Splenic Mobilization

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Page 13: Laparoscopic Nephrectomy - World Laparoscopy Hospital

Vascular Approach

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Page 14: Laparoscopic Nephrectomy - World Laparoscopy Hospital

Nephrectomy

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Page 15: Laparoscopic Nephrectomy - World Laparoscopy Hospital

Complication

The complication rate is 5.64%.

The most frequent complications are Bleeding (2.5%)

Retroperitoneal hematoma (1.2%).

Bowel Injury 1%

There were no statistically significant differences in complications rate by age, sex, or surgical access: transperitoneal versus retroperitoneal.

The complications rate was similar for both the laparoscopic and hand-assisted technique.

World Laparoscopy Hospital

Page 16: Laparoscopic Nephrectomy - World Laparoscopy Hospital

Thanks

Batch December 2006 With Health Minister of Delhi Dr. Harshvardhan

World Laparoscopy Hospital