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Step 1. Indications, instruments and trocar placement F. Porpiglia

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Step 1. Indications, instruments and trocar placement

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Title: Step 1. Indications, instruments and trocar placement
Date: 17-08-2016

Description

  • Indications for the procedure include cases of T1 renal masses with a PADUA score lower than 9 and posterior localization of the tumor.
  • Contraindications include anteriorly located renal masses, obese patients and patients with prior history of significant retroperitoneal surgery.
  • Instruments with a diameter of 3mm and trocars with a 3.9mm diameter are used.
  • 4 ports are placed in a diamond shape.
  • The camera port  (12mm) is inserted next to the iliac spina on the mid axilliary line. 
  • Two 3mm ports are placed at the level of the umbilicus on the anterior and posterior axilliary lines.
  • One port is inserted at the tip of the 12th rib.

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