Improvement on parenchymal suturing technique in laparoscopic partial nephrectomy.
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.
Makiyama
Kazuhide
K
Department of Urology, Yokohama City University Graduate School of Medicine, Yokohama, Kanagawa, Japan. makiya@yokohama-cu.ac.jp
Nakaigawa
Noboru
N
Miyoshi
Yasuhide
Y
Murakami
Takayuki
T
Yao
Masahiro
M
Kubota
Yoshinobu
Y
D004867:Equipment Design; D006801:Humans; D007680:Kidney Neoplasms / Q000601:surgery*; D010535:Laparoscopy; D009339:Needles; D009392:Nephrectomy / Q000379:methods*; D013536:Suture Techniques / Q000295:instrumentation / Q000592:standards*