title: Improvement on parenchymal suturing technique in laparoscopic partial nephrectomy.
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.
authors.affiliation: Department of Urology, Yokohama City University Graduate School of Medicine, Yokohama, Kanagawa, Japan. makiya@yokohama-cu.ac.jp
authors.forename: Kazuhide
authors.initials: K
authors.lastname: Makiyama
authors.forename: Noboru
authors.initials: N
authors.lastname: Nakaigawa
authors.forename: Yasuhide
authors.initials: Y
authors.lastname: Miyoshi
authors.forename: Takayuki
authors.initials: T
authors.lastname: Murakami
authors.forename: Masahiro
authors.initials: M
authors.lastname: Yao
authors.forename: Yoshinobu
authors.initials: Y
authors.lastname: Kubota
mesh_terms: 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*