Video - 4/6.
Step 3. Tumor excision F. Porpiglia
Please log in to view this video
Step 3. Tumor excision
10 viewsInformation
Description
- Monopolar scissors are used for demarcating the renal parenchyma around the tumor
- The gas insufflation pressure is increased to 18mm Hg.
- The tumor is excised with a combination of monopolar scissors and bipolar forceps. The plane between the tumor and the pseudocapsule separating it from the renal parenchyma should be developed.
- Any vessels that are being identified during the excision should be meticulously coagulated with bipolar forceps.
- The 3mm suction instrument is usually adequate in maintaining a bloodless field. In case of bleeding that cannot be controlled by the latter instrument, a 5mm suction instrument could be used or on demand clamping of the artery could be performed.
Comments
0 Comments