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Laparoscopic partial nephrectomy: six degrees of haemostasis
Michael K Louie1, Leslie A Deane, Adam G Kaplan
1University of California Irvine, Department of Urology, Orange, CA, USA. louie@uci.edu
Objective:
• To describe six steps for haemostasis and collecting system closure ('six degrees of haemostasis') that are reproducible and that minimize the two most concerning complications of laparoscopic partial nephrectomy: haemorrhage and urine leakage.
Methods:
• A retrospective study of 23 consecutive laparoscopic partial nephrectomy cases performed by a single surgeon between 2005 and 2008 using the 'six degrees of haemostasis' was carried out.
Results:
• There were no cases of intraoperative, postoperative or delayed bleeding. • There were no cases of urine leakage.
Conclusion:
• The 'six degrees of haemostasis' technique for laparoscopic partial nephrectomy described in the present study provides a reliable and reproducible method to reassure the surgeon of haemostasis and provide a decreased risk of urine leakage.