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Updated: Aug 6, 2026
Application of Hemostatic Devices in Laparoscopic Hepatectomy
Published on: April 19, 2022
Hemostatic techniques during laparoscopic partial nephrectomy
Rustin Chanc Walters1, Michelle Marie Collins, James Omer L'Esperance
1Urology Department, Naval Medical Center San Diego, San Diego, California 92134-7200, USA.
Purpose Of Review:
To review the current techniques and technologies being used for hemostatic control during laparoscopic partial nephrectomy.
Recent Findings:
Laparoscopic nephron-sparing surgery has become more common for the treatment of renal masses. With increasing experience, the indications for nephron sparing are increasing. Despite the increased use of these techniques in high-volume centers, however, more widespread application has been limited because of the need for advanced laparoscopic skills including the laparoscopic control of intraoperative renal bleeding. As a result, many techniques have been developed to achieve hemostasis, including conventional suture repair, tissue sealants, radiofrequency ablation, lasers, water dissection, and microwave tissue coagulation.
Summary:
Laparoscopic partial nephrectomy is a technically challenging procedure. Many promising techniques are being developed currently, most geared toward improved hemostasis and collecting system repair. These techniques and products have made, and will continue to make, the procedure less demanding and more universally accepted.
