COMPLICATIONS Both cryoablation and RFA tend to have lower complication rates than OPN/LPN. Nonetheless, they carry a risk of some major complications, including bleeding from the tumor, injured intraabdominal vessels,…
Once visualized, the renal fascia should be mobilized free of its attachments and then opened and dissected. The renal hilum should be carefully identified and exposed. The tumor should be…
Urine leakage can result from inadequate intraoperative closure of a collecting system defect or ureteral obstruction from a blood clot, which increases backflow pressure. A surgical drain should therefore be…
A dorsal lumbotomy incision can be used when retroperitoneal access to the kidney is desired in patients who have fibrosis associated with prior abdominal or flank incisions. The incision is…
After surgical revascularization, complications include persistent stenosis, graft thrombosis, and restenosis of the repaired lesion. Mortality rates are very low among patients with FMD, owing to their young age and…
COMPLICATIONS The complications associated with nephrectomy include standard surgical complications, such as bleeding, infection, wound separation, myocardial infarction, cerebral vascular accident, deep vein thrombosis, pulmonary embolus, cardiac dysrhythmia, ileus, and…
A midline transperitoneal incision may be used for patients undergoing exploratory laparotomy for trauma, during which an indication for nephrectomy may be discovered. It is not a common incision in…
ENDOPYELOTOMY An endopyelotomy begins with direct visualization of the obstruction from either from a retrograde approach (ureteroscopy, see page 10-33) or anterograde approach (nephroscopy, see Plates 10-13 and 10-14). A…
Endovascular revascularization consists of percutaneous dilation of the renal artery (often termed percutaneous transluminal angioplasty, or PTA). The femoral or radial artery is catheterized using the classic or modified Seldinger…
In the past, tract dilation was accomplished using either metallic telescoping dilators (the Alken system) or Teflon-coated graduated dilators (the Amplatz system). At present, however, most centers use balloon-dilating systems….
