Simplified reconstruction after laparoscopic partial nephrectomy using a single-pass suturing technique.

Laparoscopic partial nephrectomy (LPN) has been underused because of its technical complexity and difficulty. We present a knotless and bolsterless technique that allows simultaneous repair of the pelvicaliceal system and compression of the parenchyma defect using a series of single-pass running sutures. We believe that this technique will simplify reconstruction and aid in popularization of LPN.

[1]  W. Roberts,et al.  Tailoring technique of laparoscopic partial nephrectomy to tumor characteristics. , 2007, The Journal of urology.

[2]  Andrew J Vickers,et al.  Chronic kidney disease after nephrectomy in patients with renal cortical tumours: a retrospective cohort study. , 2006, The Lancet. Oncology.

[3]  G. Haber,et al.  Laparoscopic partial nephrectomy: contemporary technique and outcomes. , 2006, European urology.

[4]  David C. Miller,et al.  Partial nephrectomy for small renal masses: an emerging quality of care concern? , 2006, The Journal of urology.

[5]  John T. Wei,et al.  National utilization trends of partial nephrectomy for renal cell carcinoma: a case of underutilization? , 2006, Urology.

[6]  B. Konety.  Fibrin glue v sutured bolster: Lessons learned during 100 laparoscopic partial nephrectomies , 2006 .

[7]  David Gillatt,et al.  A description of radical nephrectomy practice and outcomes in England: 1995–2002 , 2005, BJU international.

[8]  A. Shalhav,et al.  Eliminating knot tying during warm ischemia time for laparoscopic partial nephrectomy. , 2004, The Journal of urology.

[9]  L. Kavoussi,et al.  Laparoscopic partial nephrectomy: effect of warm ischemia on serum creatinine. , 2004, The Journal of urology.

[10]  Charles E McCulloch,et al.  Chronic kidney disease and the risks of death, cardiovascular events, and hospitalization. , 2004, The New England journal of medicine.

[11]  B. Guillonneau,et al.  Laparoscopic partial nephrectomy for renal tumor: single center experience comparing clamping and no clamping techniques of the renal vasculature. , 2003, The Journal of urology.

[12]  나군호.  Laparoscopic Radical versus Partial Nephrectomy: Assessment of Complications , 2003 .

[13]  Mihir M Desai,et al.  Laparoscopic partial nephrectomy for renal tumor: duplicating open surgical techniques. , 2002, The Journal of urology.

[14]  J. Montie,et al.  Nephron sparing surgery for suspected malignancy: open surgery compared to laparoscopy with selective use of hand assistance. , 2000, The Journal of urology.

[15]  R. Clayman,et al.  Laparoscopic Pyeloplasty in the Animal Model , 1997, JSLS : Journal of the Society of Laparoendoscopic Surgeons.

[16]  Andrews Sm,et al.  Laparoscopic knot substitutes. An assessment of techniques of securing sutures through the laparoscope. , 1994 .

[17]  A. Novick.  Renal hypothermia: in vivo and ex vivo. , 1983, The Urologic clinics of North America.