By Seung Hyup Kim, Jeong Yeon Cho
This ebook is designed as a reference and dealing consultant for practitioners who take care of sufferers with neoplastic ailments of the urinary tract and male genitalia, together with tumors of the kidney, ureter and urinary bladder, prostate, testis, adrenal gland, and retroperitoneum. every one bankruptcy describes and illustrates key imaging findings appropriate to the characterization, differential prognosis, and staging of lesions. trend reputation is facilitated by using schematic drawings, and imaging findings on post-treatment follow-up additionally shape an immense portion of the booklet. short middle descriptions of similar multidisciplinary fields, comparable to nuclear drugs, pathology, urologic surgical procedure, and radiation oncology are incorporated every time relevant.
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12 mm ports are usually closed under direct vision using angiocath and Carter– Thomason needle. For right-side surgery, attention to duodenum and IVC is necessary. For left-side surgery, if the depth of resection is in the wrong plane, mesenteric vessels can be compromised, which can result in significant bleeding or otherwise, small bowel injury can happen. Hand-assisted laparoscopic nephrectomy is good for inexperienced surgeons to get used to laparoscopic surgeries. The key steps are the same in principle.
48 Fig. 77 Right laparoscopic radical nephrectomy was performed for a 58-year-old male. Renal artery is first ligated using multiple metal clips Hand-assisted nephrectomy can be an alternative to open conversion for novice surgeons. Retroperitoneal approach mimics the open retroperitoneal surgery and facilitates the access of hilar vessels without violating the peritoneal cavity. The choice of surgical method depends on the surgeon’s preferences. For transperitoneal laparoscopic radical nephrectomy, four ports (12 mm × 2, 5 mm × 2) are placed.
64a). Microscopically, cysts are lined by epithelial cells with variable features including flat, cuboidal, or columnar appearance (Fig. 64b). Stroma between cysts have fibrous component with variable amount of spindle cells. Sometimes, ovarian stroma-like feature is found. Mixed epithelial and stromal tumor is composed of variable amount of epithelial and stromal components. Mixed epithelial and stromal tumor and cystic nephroma are considered as morphologic spectrum of same entity. Grossly, mixed epithelial and stromal tumor is a welldemarcated mass with variable amounts of cysts (Fig.