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SIMPLE NEPHRECTOMY - Page 2
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Clipping of Renal Artery
 The dissection is in the plain within the Gerotas
fascia , for simple nephrectomy. The kidney is lifted anteriorly to expose the hilum
posteriorly. By blunt dessection the renal artery is exposed. It is then clipped and cut
between 6 clips.
Clipping of Renal Vein
The renal vein is similarly clipped and incised between 6
clips.
Clipping the Ureter
 By this time the ureter would have been
completely exposed. It is dissected further and cut between clips.
The adrenal is then dissected off the superior pole using the hook cautery.
Extraction of the kidney
  The
kidney with the thin cortex is then teased out through the 1st port site
The final appearance
 At the end of surgery only 3 port wounds are seen.
So remarkably different from and open nephrectomy wound. At discharge, the patient is on a
normal diet from the 1st post operative day and is home on the 5th, fully mobile and
without any kind of analgesia!
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