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Application of Hemostatic Devices in Laparoscopic Hepatectomy
04:23

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Published on: April 19, 2022

Hemostasis in laparoscopic renal surgery.

Hussam A Hassouna1, Ramaswamy Manikandan

  • 1Urology Department, Wrightington, Wigan and Leigh NHS Foundation Trust, UK.

Indian Journal of Urology : IJU : Journal of the Urological Society of India
|May 5, 2012
PubMed
Summary

Hemorrhage during laparoscopic nephrectomies (LN) is a risk, though advances improve safety. This review categorizes hemostasis techniques for dissection, pedicle control, and lesion excision in LNs.

Keywords:
Haemostasislaparoscopic nephrectomypartial nephrectomyreview article

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Area of Science:

  • Urology
  • Surgical Oncology
  • Minimally Invasive Surgery

Background:

  • Hemorrhage is a significant risk during laparoscopic nephrectomies (LN).
  • Recent advancements in surgical technology and sealants have enhanced LN and laparoscopic partial nephrectomy (LPN) safety.
  • Effective hemostasis remains a critical challenge, necessitating further innovation in techniques and devices.

Purpose of the Study:

  • To conduct a literature review of current hemostasis methods in laparoscopic nephrectomies.
  • To categorize hemostatic techniques based on operative steps.

Main Methods:

  • Literature search using MEDLINE(®)/PubMed(®) resources.
  • Review and categorization of hemostasis techniques.

Main Results:

  • Hemostasis techniques were reviewed for three key operative stages: dissection, renal pedicle control, and renal lesion excision.
  • Identified current hemostatic approaches and their efficacy in laparoscopic nephrectomy.

Conclusions:

  • Hemostasis in laparoscopic nephrectomy requires tailored approaches for different surgical phases.
  • Ongoing development of hemostatic devices and techniques is crucial for improving patient outcomes in LN and LPN.