Preventive sutures in nonischemic laparoscopic partial nephrectomy. Description of S.P. Botkin City Clinical Hospital technique

Background. Radical removal of the tumor while maximizing sparing renal function are main goals partial nephrectomy. Shortening warm ischemia time is one best ways to achieve good functional results surgery. Aim. To present our technique non-ischemic laparoscopic kidney resection with preventive suturing around tumor. Materials and methods . Before resection, sutures placed spaced by 1 cm moderate tension. Enucleoresection performed between preplaced in visually healthy plane. 30 patients underwent this technique. Results. Median size was 3.6 (1.5–7.2) cm. All had negative surgical margin. Warm needed 8 (26.7 %) a median 9 minutes. operative 115 (65–185) There were no intra or postoperative complications. Trifecta achieved all (100 %). Conclusion. This allows perform surgery fashion, decrease bleeding improve visualization field superior oncologic results.