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TissueLink device for laparoscopic nephron-sparing surgery
Jeffrey A Stern1, Scott D Simon, Robert G Ferrigni
1Department of Urology, Northwestern University, Chicago, Illinois, USA.
Journal of Endourology
|July 16, 2004
Summary
Laparoscopic partial nephrectomy bleeding control was improved using the TissueLink floating-ball radiofrequency dissector. This technique facilitated expeditious surgery with minimal blood loss for small renal lesions.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Nephrology
Background:
- Controlling bleeding during laparoscopic partial nephrectomy (LPN) is challenging.
- Tumor bed hemostasis is critical for successful LPN.
- Novel devices are needed to improve hemostasis in LPN.
Purpose of the Study:
- To evaluate the initial experience with the TissueLink floating-ball radiofrequency dissector for LPN.
- To assess the safety and efficacy of this device in managing tumor bed bleeding.
- To determine the feasibility of using this device for nephron-sparing surgery.
Main Methods:
- 14 purely laparoscopic nephron-sparing nephrectomies were performed.
- The TissueLink floating-ball radiofrequency dissector was used in all cases.
- 11 patients with small renal lesions were included in the study.
Main Results:
- Mean operative time was 124 minutes.
- Mean estimated blood loss was 168 mL.
- One patient experienced a minor urine leak, managed conservatively.
Conclusions:
- The TissueLink floating-ball device enabled successful treatment of 14 small renal lesions.
- The procedure was performed efficiently with minimal blood loss.
- Long-term oncologic outcomes require further investigation.