Event Date: Fri - 18 Jul, 2014
Event Time: 12:35 pm
Location: World Laparoscopy Hospital
Institute: WLHToday Dr R K Mishra demonstrated the Laparoscopic Nephrectomy to the surgeons. The position of the patient , and placing a sand bag under the lumbar region was shown. In the live tissue the patient is put in lateral position. Anterior approach is used. The telescope port is made slightly above the umbilicus. The two working ports are placed according to base ball diamond principal maintaining the triangulation. The dissection begins over the Toldt ' White line. This is avascular plane. The descending colon with the splenic flexure is mobilised. The superior reflection of peritoneum is not dissected till the time the vascular pedical is secured. Next the lino renal peritoneal bands are divided. The tail of pancreas is dissected. The hilum of the kidney is dissected and the Renal vein and Artery are displayed. Artery is ligated and divided, vein is ligated and divided. The Ureter is mobilised and clipped and divided. The organ is retrieved in a endobag.