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Introduction The ectopic pelvic kidneys have a higher likelihood of developing renal stones due to urinary stasis caused by the abnormal position of the renal pelvis, altered course of the ureter, and kidney malrotation. This retrospective study highlights the safety, efficacy, and feasibility of performing transperitoneal laparoscopic pyelolithotomy in cases of pelvic ectopic kidney. Methodology The 15 patients with ectopic pelvic kidneys and nephrolithiasis underwent laparoscopic pyelolithotomy.
View Article and Find Full Text PDFHow to do it: Splenic flexure mobilisation via medial trans-mesocolic approach.
Turk J Surg
December 2023
Clinic of Colorectal Surgery, Austin Health, Melbourne, Australia.
Complete splenic flexure mobilization is a critical step in left-sided colorectal resections. Surgeons use three approaches-anterior, medial, and lateral-to divide peritoneal ligaments connecting the left colon. The decision to perform mobilization varies, with minimal impact on post-operative outcomes but longer surgery times and rare complications.
View Article and Find Full Text PDFTransmesocolic approach in laparoscopic complete mesocolic excision for right sided colon cancers.
Wideochir Inne Tech Maloinwazyjne
December 2022
Department of General Surgery, School of Medicine, Acibadem Mehmet Ali Aydinlar University, Istanbul, Turkey.
Introduction: A mesocolic plane, central vascular ligation (CVL) and proper proximal-distal margins are the essential components of complete mesocolic excision (CME). In the transmesocolic approach, we identify the middle colic vessels and enter the lesser sac through the mesocolon for ascending colon and caecum tumors.
Aim: To investigate the feasibility and identify the technical details of this technique.
Transmesocolic Approach for Robotic Duodenal Operations.
Ann Surg Oncol
May 2023
Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
A video guide of five access methods to the splenic flexure: the concept of the splenic flexure box.
Surg Endosc
June 2020
Department of Human Anatomy and Embryology, University of Valencia, Valencia, Spain.
Aim: The aim of this study was to describe all the possible approaches for laparoscopic splenic flexure mobilization (SFM), each suitable for specific situations, and create an illustrated system to show SFM approaches in an easy and practical way to make it easy to learn and teach.
Methods: Two different phases. First part: Cadaver-based study of the colonic splenic flexure anatomy.
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