title: Description of a novel technique for suture ligation of the renal vessels during robotic nephrectomy.
abstract: Minimally invasive techniques are frequently used for surgical treatment of suspected malignant renal masses. We previously reported on our experience with robotic nephrectomy and the feasibility of performing suture ligation of the renal vessels using robotic needle drivers. We describe a novel technique for suture ligation of the renal vessels during robotic nephrectomy utilizing the robotic hook and a suture with loops at each end. Our technique for suture ligation of the renal vessels recapitulates the open technique without the need for exchanging the robotic working instruments for robotic needle drivers and without the need for endovascular staplers.
authors.affiliation: Henry Ford Hospital, Vattikuti Urology Institute, 2799 West Grand Boulevard, Detroit, MI, 48202, USA.
authors.forename: Manish N
authors.initials: MN
authors.lastname: Patel
authors.affiliation: Henry Ford Hospital, Vattikuti Urology Institute, 2799 West Grand Boulevard, Detroit, MI, 48202, USA.
authors.forename: Rajesh
authors.initials: R
authors.lastname: Laungani
authors.affiliation: Henry Ford Hospital, Vattikuti Urology Institute, 2799 West Grand Boulevard, Detroit, MI, 48202, USA.
authors.forename: Alok
authors.initials: A
authors.lastname: Shrivastava
authors.affiliation: Henry Ford Hospital, Vattikuti Urology Institute, 2799 West Grand Boulevard, Detroit, MI, 48202, USA.
authors.forename: Akshay
authors.initials: A
authors.lastname: Bhandari
authors.affiliation: Henry Ford Hospital, Vattikuti Urology Institute, 2799 West Grand Boulevard, Detroit, MI, 48202, USA.
authors.forename: L
authors.initials: L
authors.lastname: Spencer Krane
authors.affiliation: Henry Ford Hospital, Vattikuti Urology Institute, 2799 West Grand Boulevard, Detroit, MI, 48202, USA.
authors.forename: Mani
authors.initials: M
authors.lastname: Menon
authors.affiliation: Henry Ford Hospital, Vattikuti Urology Institute, 2799 West Grand Boulevard, Detroit, MI, 48202, USA. crogers2@hfhs.org.
authors.forename: Craig G
authors.initials: CG
authors.lastname: Rogers
keywords: Kidney cancer; Minimally invasive; Radical nephrectomy; Robotics; Simple nephrectomy; Surgery