Ed 11 Chapter 061 : Laparoscopic and Robotic Surgery of the Kidney

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Question 1 of 1

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A 22-year-old woman presents with severe intermittent, positional left flank pain. Her medical and surgical histories are unremarkable, and her body mass index (BMI) is 19 kg/m2. Renal ultrasound shows no evidence of stones or hydronephrosis. What is the best next step in evaluation?

Select the correct answer(s).

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A laparoscopic renal biopsy is performed for a 53-year-old man with chronic renal insufficiency of unclear etiology and a BMI of 47 kg/m2. A prior percutaneous approach did not obtain adequate tissue. Using a two-port retroperitoneal approach, copious retroperitoneal fat is encountered and there is difficulty with orientation and localizing the kidney. The best next step is to:

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The following are preferred methods of renal hilar ligation during laparoscopic/robotic nephrectomy EXCEPT:

Select the correct answer(s).

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Absolute contraindications to laparoscopic partial nephrectomy include:

Select the correct answer(s).

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On postoperative day 3 following robotic-assisted laparoscopic right partial nephrectomy, a 54-year-old man presents to the emergency room with nausea, low-grade fever, right-sided abdominal pain, and foul-smelling discharge from a right lateral trocar site. CT scan with oral contrast demonstrates extravasation of contrast from the ascending colon with an adjacent fluid collection. The most likely etiology of the injury is:

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A 65-year-old man underwent an uncomplicated robot-assisted left laparoscopic partial nephrectomy and was discharged home on postoperative day 2, voiding clear yellow urine. He presents to the emergency room a week later with newonset gross hematuria and flank pain. He is mildly tachycardic and hypotensive. Hematocrit is 22%. One hour after fluid resuscitation, his vital signs have normalized, but the hematuria persists and he is requiring continuous bladder irrigation (CBI). The best next step is:

Select the correct answer(s).

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A 53-year-old woman who underwent a laparoscopic heminephrectomy for a 5- cm central kidney tumor continues to have drain output greater than 150 mL per day on postoperative day 3. Drain fluid assessment demonstrates a creatinine level of 19 mg/dL while the patient's serum creatinine is within normal limits (1.1 mg/dL). The best way to resolve the leakage is to:

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A 50-year-old man presents with 4 + proteinuria and intermittent milky-white urine after recent travel. Retrograde pyelogram demonstrates a lymphorenal fistula. Complete blood count (CBC) demonstrates eosinophilia, and urine culture is positive for Wuchereria bancrofti. Treatment options recommended prior to laparoscopic nephrolysis include all of the following EXCEPT:

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A robotic-assisted laparoscopic left partial nephrectomy is performed to resect a local recurrence following laparoscopic radiofrequency ablation of an anterior renal tumor. During exposure of the left renal vessels, dense adhesions and scar tissue are encountered and a deep injury to the pancreatic tail is identified. This scenario is best managed by:

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Standard trocar placement for renal surgery may need to be adjusted based on which of the following patient characteristics?

Select the correct answer(s).

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Laparoscopic unilateral simple nephrectomy is indicated in all of the following clinical scenarios EXCEPT:

Select the correct answer(s).

(0/0)

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When obtaining access for laparoscopic renal surgery, which of the following technique(s) is/are employed to minimize the risk of bowel injury?

Select the correct answer(s).

(0/0)

447125

120

none

During laparoscopic renal cyst decortication for a large, symptomatic left perihilar cyst, a major portion of the cyst wall is noted to be adjacent to the vessels and collecting system. The best next step in management to prevent cyst recurrence is:

Select the correct answer(s).

(0/0)

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120

none

Routine lymphadenectomy when performing laparoscopic radical nephrectomy for node-negative patients by preoperative imaging has been shown to yield:

Select the correct answer(s).

(0/0)

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A patient clinically suited to undergo cytoreductive nephrectomy may benefit from the laparoscopic approach to cytoreductive nephrectomy over open cytoreductive nephrectomy in regard to all of the following EXCEPT:

Ed 11 Chapter 061 : Laparoscopic and Robotic Surgery of the Kidney

Question 1 of 1

Time Left

A 22-year-old woman presents with severe intermittent, positional left flank pain. Her medical and surgical histories are unremarkable, and her body mass index (BMI) is 19 kg/m2. Renal ultrasound shows no evidence of stones or hydronephrosis. What is the best next step in evaluation?

Select the correct answer(s).

(0/0)

Select the correct answer(s).

(0/0)

The following are preferred methods of renal hilar ligation during laparoscopic/robotic nephrectomy EXCEPT:

Select the correct answer(s).

(0/0)

Absolute contraindications to laparoscopic partial nephrectomy include:

Select the correct answer(s).

(0/0)

Select the correct answer(s).

(0/0)

Select the correct answer(s).

(0/0)

Select the correct answer(s).

(0/0)

Select the correct answer(s).

(0/0)

Select the correct answer(s).

(0/0)

Standard trocar placement for renal surgery may need to be adjusted based on which of the following patient characteristics?

Select the correct answer(s).

(0/0)

Laparoscopic unilateral simple nephrectomy is indicated in all of the following clinical scenarios EXCEPT:

Select the correct answer(s).

(0/0)

When obtaining access for laparoscopic renal surgery, which of the following technique(s) is/are employed to minimize the risk of bowel injury?

Select the correct answer(s).

(0/0)

During laparoscopic renal cyst decortication for a large, symptomatic left perihilar cyst, a major portion of the cyst wall is noted to be adjacent to the vessels and collecting system. The best next step in management to prevent cyst recurrence is:

Select the correct answer(s).

(0/0)

Routine lymphadenectomy when performing laparoscopic radical nephrectomy for node-negative patients by preoperative imaging has been shown to yield:

Select the correct answer(s).

(0/0)

A patient clinically suited to undergo cytoreductive nephrectomy may benefit from the laparoscopic approach to cytoreductive nephrectomy over open cytoreductive nephrectomy in regard to all of the following EXCEPT:

Select the correct answer(s).

(0/0)

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