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It was previously thought that renal hilum en bloc ligation during kidney removal may increase the risk of renal arteriovenous fistula (AVF) formation. We evaluated the safety and effectiveness of en bloc ligation of the renal pedicle using a stapler during laparoscopic nephrectomy and nephroureterectomy.

Does the stapler for en bloc resection of renal pedicles during kidney removal surgery increase the risk of arteriovenous fistula?