RESUMO
OBJECTIVE: To expose and remind the supamesocolic approach to the left renal pedicle, in addition to review its main indications. METHODS/RESULTS: We perform a detailed description of the surgical technique showing its indications, the position, the incision and retraction systems employed, detailing the steps followed during dissection. CONCLUSIONS: Adequate vascular control and complete resection of large renal and adrenal masses require an adequate exposition; the knowledge of surgical techniques such as supramesocolic approach to the left renal pedicle is very useful and may ease the course of retroperitoneal operations avoiding complications and giving comfort in a frequently difficult operation.
Assuntos
Rim/cirurgia , Neoplasias das Glândulas Suprarrenais/cirurgia , Dissecação/métodos , Hemostasia Cirúrgica , Humanos , Rim/lesões , Neoplasias Renais/cirurgia , Excisão de Linfonodo/métodos , Posicionamento do Paciente , Hemorragia Pós-Operatória/prevenção & controle , Artéria Renal/cirurgia , Procedimentos Cirúrgicos Urológicos , Procedimentos Cirúrgicos Vasculares , Ferimentos e Lesões/cirurgiaRESUMO
OBJETIVO: Exponer y recordar la vía de acceso supramesocólica al pedículo renal izquierdo, además de recordar las principales indicaciones de la misma. MÉTODO/RESULTADOS: Realizamos una descripción detallada de la técnica quirúrgica exponiendo sus indicaciones, la posición, incisión y sistemas de retracción utilizados y detallando los pasos llevados a cabo durante la disección. CONCLUSIÓN: El adecuado control vascular y la resección completa de grandes masas renales y suprarrenales precisan de una adecuada exposición; por lo que el conocimiento de técnicas quirúrgicas como el acceso supramesocólico al pedículo renal izquierdo es de gran utilidad y que puede facilitar el curso de cirugías retroperitoneales evitando complicaciones y aportando comodidad a actuaciones con frecuencia comprometidas
OBJECTIVE: To expose and remind the supamesocolic approach to the left renal pedicle, in addition to review its main indications. METHODS/RESULTS: We perform a detailed description of the surgical technique showing its indications, the position, the incision and retraction systems employed, detailing the steps followed during dissection. CONCLUSIONS: Adequate vascular control and complete resection of large renal and adrenal masses require an adequate exposition; the knowledge of surgical techniques such as supramesocolic approach to the left renal pedicle is very useful and may ease the course of retroperitoneal operations avoiding complications and giving comfort in a frequently difficult operation
