Laparoscopically Assisted Vaginal Extraction of the Kidney after Laparoscopic Radical Nephrectomy

Kaiser Permanente, The Permanente Medical Group, The Permanente Federation


Christian S Sunoo, MD; Randal A Aaberg, MD; Joyce K Nakamura, MD

Winter 2005 - Volume 9 Number 1

https://doi.org/10.7812/TPP/03-106

Abstract

Background: Gynecologists have long used a vaginal incision for surgical treatment of pelvic pathology. More recently, however, laparoscopy has allowed gynecologists and other specialists to replace laparotomy with minimally invasive surgical techniques. The combination of laparoscopic and vaginal approaches has increased the surgical armamentarium of both the gynecologist and the urologist.
Case: A gynecologist found a renal cell carcinoma in a 52-year-old woman. The Urology and Gynecology Departments of the Kaiser Permanente (KP) Hawaii Region (KP Hawaii) planned a combined minimally invasive surgical procedure that became Hawaii's first reported retroperitoneal radical nephrectomy followed by laparoscopically assisted vaginal extraction of an intact kidney.
Conclusion: Collaboration between laparoscopic surgeons in the Departments of Urology and Gynecology has allowed us to share surgical techniques and approaches to perform minimally invasive surgery instead of using more morbid large incisions of the abdomen or flank as required previously.

Winter 2005 Cover

Celebrating 20 years (copy)

tpj20thissue

The Winter 2017 issue of The Permanente Journal marked the first issue of our 20th anniversary year. We've grown a lot in the past 20 years, currently reaching an online readership of more than one million worldwide. We've expanded to publish books and a literary and visual arts e-journal, leaflet. We are indexed in MEDLINE and continue to grow our digital footprint. We look forward to continuing to bring you more high-quality content during the next 20 years.

Circulation

25,000 print readers per quarter, 7,628 eTOC readers, and in 2016, 1.4 million page views on TPJ articles in PubMed from a broad international readership.

Subscriptions

The Permanente Journal (ISSN 1552-5767) is published quarterly by The Permanente Press. Journal subscriptions are entered for the calendar year. Advance payment in US dollars is required.

Letters

Articles, editorials, letters to the editor, and other material represent the opinion of the authors. Send your comments to permanente.journal@kp.org.


Copyright 2017 The Permanente Journal - Kaiser Permanente. All Rights Reserved.