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Improvement on parenchymal suturing technique in laparoscopic partial nephrectomy
Author(s) -
Makiyama Kazuhide,
Nakaigawa Noboru,
Miyoshi Yasuhide,
Murakami Takayuki,
Yao Masahiro,
Kubota Yoshinobu
Publication year - 2008
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1111/j.1442-2042.2008.02101.x
Subject(s) - medicine , nephrectomy , clips , renal parenchyma , thread (computing) , surgery , parenchyma , fibrous joint , laparoscopy , kidney , computer science , pathology , operating system
Abstract: This report aims to describe a new parenchymal continuous suturing technique for laparoscopic partial nephrectomy. In this new technique, the thread is not tightened or cinched until all stitches are completed. At the final step of the running suture, each thread is tightened and fixed by using Hem‐o‐lok clips. We performed laparoscopic partial nephrectomy with this procedure on eight patients between January and October 2007. The mean ischemic time was 35 min (range: 28–44 min). The mean time of parenchymal suturing was 9.9 min (range: 7–11 min). This procedure allowed us a clear vision during the suturing.