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Single Port Donor Nephrectomy
Published on: March 12, 2011
Bolsterless laparoscopic partial nephrectomy: a simplification of the technique.
Nasser Simforoosh1, Akbar Noor-Alizadeh, Ali Tabibi
1Shahid Labbafinejad Hospital, Urology & Nephrology Research Center, Shahid Beheshti University, Tehran, Iran. Simforoosh@iurtc.org
Journal of Endourology
|May 16, 2009
Summary
Laparoscopic partial nephrectomy (LPN) can be safely performed without using a bolster in the tumor bed repair. This simplified technique may increase the adoption of LPN among urologists.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Oncology
Background:
- Laparoscopic partial nephrectomy (LPN) is a complex urological procedure.
- Simplifying LPN techniques is crucial for wider adoption by laparoscopic urologists.
Purpose of the Study:
- To evaluate the safety and efficacy of LPN without bolster placement in tumor bed repair.
- To assess if eliminating bolster simplifies the LPN procedure.
Main Methods:
- Thirty-three patients with renal masses underwent LPN.
- Tumor bed closure utilized a single running suture row without bolster.
- Hem-o-Lok clips secured sutures, and ureteral stenting was omitted.
Main Results:
- Mean tumor size was 4.06 cm; 15 tumors exceeded 4 cm.
- Minimal blood loss and mean ischemia time of 25.8 minutes.
- One case of urine leakage (3.0%), managed conservatively; no open conversions.
Conclusions:
- Laparoscopic partial nephrectomy is feasible and safe without bolster use.
- Omitting bolster simplifies the LPN technique.
- This simplification can promote broader use of LPN in clinical practice.
