Focus on Details Modified technique of renal defect closure following laparoscopic partial nephrectomy
2007
Laparoscopic partial nephrectomy is now accepted as the ideal treatment option for favourably located tumours of < 4 cm [1,2]. The most obvious group of patients who benefit from this procedure are individuals in whom a normal contralateral kidney is under future potential threat, e.g. from hypertension, diabetes and hereditary cancer such as the Von Hippel–Lindau syndrome. Long-term data has shown oncological efficacy similar to that of traditional open radical nephrectomy [3].The major impediment has remained the difficulty of haemostasis. To ensure a bloodless field, it is necessary to control vascular supply to the renal parenchyma by clamping the renal artery and vein
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