title: Hemostatic techniques during laparoscopic partial nephrectomy.
abstract: OBJECTIVE
  To review the current techniques and technologies being used for hemostatic control during laparoscopic partial nephrectomy.
  
  
  RESULTS
  Laparoscopic nephron-sparing surgery has become more common for the treatment of renal masses. With increasing experience, the indications for nephron sparing are increasing. Despite the increased use of these techniques in high-volume centers, however, more widespread application has been limited because of the need for advanced laparoscopic skills including the laparoscopic control of intraoperative renal bleeding. As a result, many techniques have been developed to achieve hemostasis, including conventional suture repair, tissue sealants, radiofrequency ablation, lasers, water dissection, and microwave tissue coagulation.
  
  
  CONCLUSIONS
  Laparoscopic partial nephrectomy is a technically challenging procedure. Many promising techniques are being developed currently, most geared toward improved hemostasis and collecting system repair. These techniques and products have made, and will continue to make, the procedure less demanding and more universally accepted.
authors.affiliation: Urology Department, Naval Medical Center San Diego, San Diego, California 92134-7200, USA.
authors.forename: Rustin Chanc
authors.initials: RC
authors.lastname: Walters
authors.forename: Michelle Marie
authors.initials: MM
authors.lastname: Collins
authors.forename: James Omer
authors.initials: JO
authors.lastname: L'Esperance
mesh_terms: D000269:Adhesives / Q000627:therapeutic use; D000465:Algorithms; D017115:Catheter Ablation / Q000379:methods; D016558:Hemostasis, Endoscopic / Q000379:methods*; D006488:Hemostasis, Surgical / Q000379:methods*; D006801:Humans; D007036:Hypothermia, Induced / Q000379:methods; D053685:Laser Therapy; D008872:Microwaves / Q000627:therapeutic use; D009392:Nephrectomy / Q000009:adverse effects / Q000379:methods*; D000078702:Radiofrequency Therapy; D013536:Suture Techniques
chemical_list: D000269:Adhesives