Tips for Puncturing the Kidney Using the “Bull’s Eye” Technique
Figure 44.1 Cross sectional view of the kidney at the interpolar region. Typically, a posterior calyx forms a 30° angle with the vertical axis. This angle should be considered when…
Figure 44.1 Cross sectional view of the kidney at the interpolar region. Typically, a posterior calyx forms a 30° angle with the vertical axis. This angle should be considered when…
Figure 58.1 Port placement for robotic radical prostatectomy. Schematic representation The port placement consists of: Four Robotic Ports 1: 12 mm port – Camera 3: 8 mm ports – 4th…
Figure 62.1 Port placement for right sided nephrectomy. The numbered circles indicate the ports, all of which are 12 mm in diameter Surgical Technique for Right Kidney Nephrectomy Incision of…
Figure 42.1 Insertion of ureteric catheter and retrograde in tortuous ureter – guidewire removed to allow retrograde study After the retrograde a guidewire should be inserted through the ureteric catheter…
Figure 43.1 Lower calyx puncture site is approximately 1 cm lower and 1 cm inwards from the 12th rib tip Under fluoroscopy guidance the puncture needle is placed on the…
Fig. 68.1 Ports configuration. (a) Classic 6 port approach (b) Trocars and Alexis wound retractor placed supraumbilically (c) Alexis Laparoscopic Cap allowing pneumo-peritoneum creation In case of extracorporeal urinary diversion…
Initial management Recommended intervention Endoscopic Substitution urethroplasty with ventral BMG Excision and primary anastomosis No obliteration Significant obliteration Complete obliteration Substitution urethroplasty with BMG Modified “roof strip” urethroplasty Redo excision…
Figure 52.1 (ii) Large papillary tumors are resected anterogradely in fractions from the superficial area up to the pedicle of the tumor. A better control of the resection area…
Figure 72.1 Image guided prostate biopsy. MR segmented prostate (red) and tumor suspect region (blue) fused with live transrectal ultrasound. Biopsy needle inserted according to planed biopsy corridor (green/gray) Tablet…
Figure 57.1 “Linear” port configuration for upper urinary tract laparoscopy The traditional flank position port placement or diamond-shaped configuration (Fig. 57.2) which consist in placing the camera port at the…