Chapter 054 : Contemporary Open Surgery of the Kidney

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A 45-year-old healthy man with no family history of cancer is found to have a 6-cm enhancing mass in the upper pole of his right kidney. A 2-cm solitary nodule is noted on preoperative chest radiography. CT confirms a solitary nodule in the lower lobe of the right lung. What is the most appropriate treatment course?

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What is the preferred technique for radical nephrectomy and removal of tumor thrombus above the level of the diaphragm in the absence of significant metastatic disease?

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Deep hypothermic circulatory arrest (DHCA) can have irreversible neurologic effects after what period of time?

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In a 45-year-old man with a normal contralateral kidney and no family history of kidney cancer, in which of the following clinical scenarios would partial nephrectomy be indicated?

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What is the ideal surgical approach to repair a 2-cm renal artery aneurysm occurring at the anterior and posterior segmental arteries just beyond their branch points from the main renal artery in a 30-year-old hypertensive woman with normal contralateral renal function?

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What is the strongest modifiable risk factor for renal insufficiency after partial nephrectomy?

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During a posterior right lumbotomy approach what is the order of appearance of the renal artery, renal vein, and renal pelvis?

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What is the optimal surgical approach for removal of a 12-cm right renal mass with tumor thrombus at the confluence of the right renal vein and inferior vena cava?

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Five days after left partial nephrectomy for a hilar tumor there is persistent drainage from the Penrose drain site. Laboratory analysis of the drain fluid demonstrates elevated amylase levels. Imaging studies demonstrate small bowel dilation consistent with ileus and fluid around the tail of pancreas. What is the ideal management?

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Which segmental branch of the renal artery is most consistent and supplies 25% of the arterial supply to the renal unit?

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In which scenario is partial nephrectomy contraindicated?

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What maneuver refers to the reflection of the second and third portions of the duodenum in a medial direction to expose the right renal vessels and ventral inferior vena cava?

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Which form of renovascular disease is most amenable to endovascular treatment?

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What partial nephrectomy technique should be used as a last resort in a solitary kidney?

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429391

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The subcostal nerve may be inadvertently transected during an anterior subcostal incision for a radical nephrectomy. Between what two layers does this nerve run?

Chapter 054 : Contemporary Open Surgery of the Kidney

Question 1 of 1

Time Left

Select the correct answer(s).

(0/0)

What is the preferred technique for radical nephrectomy and removal of tumor thrombus above the level of the diaphragm in the absence of significant metastatic disease?

Select the correct answer(s).

(0/0)

Deep hypothermic circulatory arrest (DHCA) can have irreversible neurologic effects after what period of time?

Select the correct answer(s).

(0/0)

In a 45-year-old man with a normal contralateral kidney and no family history of kidney cancer, in which of the following clinical scenarios would partial nephrectomy be indicated?

Select the correct answer(s).

(0/0)

What is the ideal surgical approach to repair a 2-cm renal artery aneurysm occurring at the anterior and posterior segmental arteries just beyond their branch points from the main renal artery in a 30-year-old hypertensive woman with normal contralateral renal function?

Select the correct answer(s).

(0/0)

What is the strongest modifiable risk factor for renal insufficiency after partial nephrectomy?

Select the correct answer(s).

(0/0)

During a posterior right lumbotomy approach what is the order of appearance of the renal artery, renal vein, and renal pelvis?

Select the correct answer(s).

(0/0)

What is the optimal surgical approach for removal of a 12-cm right renal mass with tumor thrombus at the confluence of the right renal vein and inferior vena cava?

Select the correct answer(s).

(0/0)

Select the correct answer(s).

(0/0)

Which segmental branch of the renal artery is most consistent and supplies 25% of the arterial supply to the renal unit?

Select the correct answer(s).

(0/0)

In which scenario is partial nephrectomy contraindicated?

Select the correct answer(s).

(0/0)

What maneuver refers to the reflection of the second and third portions of the duodenum in a medial direction to expose the right renal vessels and ventral inferior vena cava?

Select the correct answer(s).

(0/0)

Which form of renovascular disease is most amenable to endovascular treatment?

Select the correct answer(s).

(0/0)

What partial nephrectomy technique should be used as a last resort in a solitary kidney?

Select the correct answer(s).

(0/0)

The subcostal nerve may be inadvertently transected during an anterior subcostal incision for a radical nephrectomy. Between what two layers does this nerve run?

Select the correct answer(s).

(0/0)

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