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Related Experiment Video

Updated: May 27, 2026

5/6 Nephrectomy Using Sharp Bipolectomy Via Midline Laparotomy in Rats
05:34

5/6 Nephrectomy Using Sharp Bipolectomy Via Midline Laparotomy in Rats

Published on: April 4, 2025

Temporary targeted hemostasis to facilitate bloodless partial nephrectomy.

Niall J Harty1, Alireza Moinzadeh, Sebastian Flacke

  • 1Department of Urology, Lahey Clinic, Burlington, Massachusetts 01805, USA.

Urology
|December 6, 2011
PubMed
Summary

Lumagel effectively creates a bloodless field for partial nephrectomy in pigs and calves, allowing safe and efficient kidney surgery without global ischemia. This technique ensures reliable blood flow interruption and restoration.

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Area of Science:

  • Urology
  • Surgical Innovation
  • Medical Device Technology

Background:

  • Previous robotic-assisted techniques for partial nephrectomy were extended to larger animal models.
  • The study aimed to replicate human-like vessel diameters in pigs and calves.
  • Achieving a bloodless operative field is crucial for complex partial nephrectomies.

Purpose of the Study:

  • To evaluate Lumagel's efficacy in achieving temporary, targeted renal artery occlusion during partial nephrectomy.
  • To compare Lumagel with traditional arterial clamping for flow interruption.
  • To assess the safety and feasibility of Lumagel in a porcine and calf model for open and laparoscopic partial nephrectomy.

Main Methods:

  • Ten animals (7 pigs, 3 calves) underwent renal artery flow interruption using either Lumagel or arterial clamping.
  • Lumagel was administered intra-arterially under fluoroscopic guidance.
  • Animals, except for the first pig and calf, underwent partial nephrectomy after flow interruption.

Main Results:

  • Lumagel successfully achieved targeted blood flow interruption while preserving circulation to uninvolved renal tissue.
  • Hemostasis was maintained for at least 30 minutes, with negligible blood loss in most cases.
  • Surgical resection times averaged 11 minutes (open) and 23.3 minutes (laparoscopic); Lumagel flow return averaged 7 minutes versus 2.5 minutes for clamping.

Conclusions:

  • Lumagel offers a reliable method for intraluminal blood flow interruption and restoration in renal arteries.
  • This technique facilitates blood-free partial nephrectomy, potentially avoiding global renal ischemia.
  • Lumagel shows promise for improving surgical outcomes in partial nephrectomy procedures.