The Wheelbarrow Dissection Technique for Completely Endophytic Tumours

Totally endophytic renal tumours are challenging cases for Urologists to tackle. This video illustrates the ‘Wheelbarrow’ Dissection technique that aids in the resection/enucleation of these tumours. A 57 year old gentleman with a right completely endophytic 3.7cm renal tumour underwent robot-assisted partial nephrectomy. He recovered well postoperatively, histology revealed pT1a Grade 2 Clear cell RCC with clear resection margins.