PMC3974472_01
CT-scan in urographic phase. The arrow indicates a tumor.
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F0001
There was a pathological lesion visible with dimensions of 22 x 15 x 22 mm, which enhanced from 30 up to 90 Hounsfield units after contrast injection (Figure 1).
Intraoperative view of the retroperitoneal space (RP - renal pelvis, U - ureter).
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F0002
After the release of ureter (Figure 2), pelvis was open and the papillary tumor was visualized (Figure 3).
Same view (TU - tumor).
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F0003
After the release of ureter (Figure 2), pelvis was open and the papillary tumor was visualized (Figure 3).
Excision of the tumor.
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The tumor was resected with as much wide as possible margin of healthy pelvic tissue (Figure 4).
Tumor is placed in laparoscopic bag.
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F0005
In order to avoid the spillage the specimen was placed in the plastic bag (Figure 5).
Reconstruction of renal pelvis.
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F0006
The renal pelvis was reconstructed with a continuous suture (Figure 6).