[The use of polymeric Hem-o-lock clips in laparoscopic radical nephrectomy].
OBJECTIVE
The aim of the study was to evaluate the usefulness and cost-effectiveness of polymeric Hem-o-lock clips during laparoscopic nephrectomy. The intra- and postoperative complications of the operation were assessed too.


METHODS
From April 2011 through November 2011, 19 laparoscopic radical nephrectomies were performed. A preferred method to secure the renal vein was the use of polymeric Hem-o-lock clips. The renal artery was clipped by titanium clips. In five patients an Endo-GIA stapler was used to secure the renal pedicle. All procedures were carried out using a transperitoneal access. The perioperative data were analyzed retrospectively.


RESULTS
No intraoperative complications associated with the use of Hem-o-lock clips were observed. The mean procedure time was 202 min. The average blood loss during the operation was 480 ml. No bleeding in the postoperative period was observed. The mean abdominal drain output was 65 ml per day. The mean time to drain removal was 3 days. The average hospital stay was 5-6 days.


CONCLUSIONS
Using the polymeric Hem-o-lock clips is a safe, relatively easy and cheep way to close the renal vein during laparoscopic radical nephrectomy.
Kliniczny Oddział Urologii 4 Wojskowego Szpitala Klinicznego z Poliklinika we Wrocławiu. urgre2@poczta.onet.pl
Grzegorz
G
Urbańczyk
Adam
A
Litarski
Andrzej
A
Litarski
Wojciech
W
Panek
Artur
A
Pupka
Tomasz
T
Szydełko
D016063:Blood Loss, Surgical / Q000517:prevention & control*; D003362:Cost-Benefit Analysis; D004322:Drainage / Q000706:statistics & numerical data; D004867:Equipment Design; D006801:Humans; D007668:Kidney / Q000098:blood supply / Q000601:surgery; D010535:Laparoscopy / Q000295:instrumentation / Q000379:methods*; D007902:Length of Stay; D009392:Nephrectomy / Q000295:instrumentation* / Q000379:methods; D011044:Poland; D012077:Renal Artery / Q000601:surgery; D012082:Renal Veins / Q000601:surgery; D012189:Retrospective Studies; D013525:Surgical Instruments / Q000191:economics*