Vascular clips are safe and a great cost-effective technique for arterial and venous control in laparoscopic nephrectomy: single-center experience with 1834 laparoscopic nephrectomies

Journal of Endourology
Nasser SimforooshNadali Moosanejad

Abstract

To evaluate the safety and cost-effectiveness of Hem-o-lok and metallic titanium clips for both renal arterial and venous control in laparoscopic nephrectomies. All patients who underwent laparoscopic nephrectomy from June 2000 to March 2011 in our center were included. Before July 2005, we used three medium-large titanium clips for safe control of renal vessels. After July 2005, we used two clips for renal artery control (one 10 mm Hem-o-lok clip and one medium-large titanium clip) and two clips for renal vein control (12 mm and 10 mm Hem-o-lok clips) in all cases. To prevent possible complications, we placed vascular clips 2 to 3 mm away from the aortic root of the renal artery underneath lumbar vessels. Episodes of clip failure were defined as intraoperative or postoperative hemorrhage or exploration because of clip failure. This study included 1834 laparoscopic nephrectomies (1423 donor nephrectomies, 214 simple nephrectomies, and 197 radical nephrectomies). All arteries and renal veins were controlled by titanium and Hem-o-lok clips. One complication that was probably related to vascular clips (titanium and Hem-o-lok), however, involved a delayed hemorrhage from a pseudoaneurysm at the aortic root of the renal artery, whic...Continue Reading

References

Sep 28, 2002·Urology·Donna Y DengMarshall L Stoller
Mar 30, 2005·BJU International·Nasser SimforooshSeyed M M Hosseini Moghaddam
Dec 24, 2005·Annals of Surgery·Amy L FriedmanLloyd E Ratner
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Feb 18, 2011·Transplantation·Nizam MamodeVassilis G Hadjianastassiou

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Citations

Oct 1, 2013·Journal of Endourology·Nasser SimforooshMohammad Hadi Shakibi
Aug 30, 2014·The Journal of Surgical Research·Andrea L SmithRobert J Brosnan
Apr 3, 2015·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·S JankiF J M F Dor
Jul 28, 2016·The Journal of Urology·Win Shun Lai, Soroush Rais-Bahrami
Jul 4, 2019·Journal of Endourology·Zakaria SakiEvangelos Liatsikos
Jun 6, 2020·Annals of the Royal College of Surgeons of England·C CurrowUNKNOWN Surgical Trainees East of England Research (STEER) Collaborative
Sep 10, 2021·Journal of Endourology·David MikhailLee Richstone

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