Question

In what position is a patient placed for a right nephrectomy?

Answer 1

For a right nephrectomy, the patient is usually positioned in the left lateral decubitus position, allowing surgical access to the lower-positioned right kidney.

Step-by-step explanation:

For a right nephrectomy, which is the surgical removal of the right kidney, the patient is typically placed in the left lateral decubitus position. This position involves the patient lying on their left side, which exposes the right flank making the right kidney more accessible for the surgical procedure.

The positioning is crucial as the kidneys are retroperitoneal, located behind the peritoneum, and the right kidney is slightly lower than the left due to displacement by the liver.

Additionally, the kidneys are protected by the eleventh and twelfth ribs and cushioned by the renal fascia and surrounding fat layers that need to be navigated during the nephrectomy.

Answer 2

For a right nephrectomy, the patient is typically placed in the left lateral decubitus position.

Step-by-step explanation:

During a right nephrectomy, the surgeon removes the right kidney. To provide optimal access and visibility during the procedure, the patient is positioned in the left lateral decubitus position. In this position, the patient lies on their left side with the left side of the body facing upward. This positioning allows the right side of the abdomen, where the kidney is located, to be more accessible to the surgical team.

The left lateral decubitus position is preferred for a right nephrectomy because it provides a clear surgical field, facilitates proper organ retraction, and minimizes interference with other structures. Additionally, this position allows for better exposure of the renal vessels and surrounding anatomy, making it easier for the surgeon to perform the nephrectomy with precision.

In urological procedures like nephrectomies, the choice of patient position is a critical aspect of the surgical planning to ensure safety, effectiveness, and optimal outcomes. The left lateral decubitus position for a right nephrectomy is a standard practice in the field of urology and provides the surgeon with the necessary access and visualization for a successful procedure.