Efficacy of the intracorporeal one-hand tie technique for renal pedicle control during hand-assisted retroperitoneoscopic nephroureterectomy

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Abstract

Objective: This study examined the efficacy of the intracorporeal one-hand tie technique for renal pedicle control during hand-assisted retroperitoneoscopic nephroureterectomy (HARN). Methods: The intracorporeal one-hand tie technique was conducted in 32 consecutive patients with upper tract urothelial cancer that underwent HARN and open bladder cuff excision. Results: All suture ligatures were successful in securing the renal vessels, except one minor venous bleeding that occurred during vessel transection, which was then controlled by additional clips. The process of controlling the renal pedicle took an average of 12.4 minutes (range, 8-30 minutes). No pedicle control related morbidities were noted. By sparing the usage of endovascular clips and staplers, operative costs were reduced and associated malfunctions eliminated. Conclusion: The intracorporeal one-hand tie technique is an easy, reliable, and cost-effective method in controlling the renal pedicle during HARN. Its efficacy in pedicle control is beyond doubt.

Original languageEnglish
Pages (from-to)278-281
Number of pages4
JournalUrological Science
Volume26
Issue number4
DOIs
Publication statusPublished - 2015 Dec 1

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Hand
Kidney
Surgical Instruments
Costs and Cost Analysis
Sutures
Ligation
Urinary Bladder
Hemorrhage
Morbidity
Neoplasms

All Science Journal Classification (ASJC) codes

  • Urology

Cite this

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title = "Efficacy of the intracorporeal one-hand tie technique for renal pedicle control during hand-assisted retroperitoneoscopic nephroureterectomy",
abstract = "Objective: This study examined the efficacy of the intracorporeal one-hand tie technique for renal pedicle control during hand-assisted retroperitoneoscopic nephroureterectomy (HARN). Methods: The intracorporeal one-hand tie technique was conducted in 32 consecutive patients with upper tract urothelial cancer that underwent HARN and open bladder cuff excision. Results: All suture ligatures were successful in securing the renal vessels, except one minor venous bleeding that occurred during vessel transection, which was then controlled by additional clips. The process of controlling the renal pedicle took an average of 12.4 minutes (range, 8-30 minutes). No pedicle control related morbidities were noted. By sparing the usage of endovascular clips and staplers, operative costs were reduced and associated malfunctions eliminated. Conclusion: The intracorporeal one-hand tie technique is an easy, reliable, and cost-effective method in controlling the renal pedicle during HARN. Its efficacy in pedicle control is beyond doubt.",
author = "Jiann-Hui Ou and Wen-Horng Yang",
year = "2015",
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language = "English",
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journal = "Urological Science",
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T1 - Efficacy of the intracorporeal one-hand tie technique for renal pedicle control during hand-assisted retroperitoneoscopic nephroureterectomy

AU - Ou, Jiann-Hui

AU - Yang, Wen-Horng

PY - 2015/12/1

Y1 - 2015/12/1

N2 - Objective: This study examined the efficacy of the intracorporeal one-hand tie technique for renal pedicle control during hand-assisted retroperitoneoscopic nephroureterectomy (HARN). Methods: The intracorporeal one-hand tie technique was conducted in 32 consecutive patients with upper tract urothelial cancer that underwent HARN and open bladder cuff excision. Results: All suture ligatures were successful in securing the renal vessels, except one minor venous bleeding that occurred during vessel transection, which was then controlled by additional clips. The process of controlling the renal pedicle took an average of 12.4 minutes (range, 8-30 minutes). No pedicle control related morbidities were noted. By sparing the usage of endovascular clips and staplers, operative costs were reduced and associated malfunctions eliminated. Conclusion: The intracorporeal one-hand tie technique is an easy, reliable, and cost-effective method in controlling the renal pedicle during HARN. Its efficacy in pedicle control is beyond doubt.

AB - Objective: This study examined the efficacy of the intracorporeal one-hand tie technique for renal pedicle control during hand-assisted retroperitoneoscopic nephroureterectomy (HARN). Methods: The intracorporeal one-hand tie technique was conducted in 32 consecutive patients with upper tract urothelial cancer that underwent HARN and open bladder cuff excision. Results: All suture ligatures were successful in securing the renal vessels, except one minor venous bleeding that occurred during vessel transection, which was then controlled by additional clips. The process of controlling the renal pedicle took an average of 12.4 minutes (range, 8-30 minutes). No pedicle control related morbidities were noted. By sparing the usage of endovascular clips and staplers, operative costs were reduced and associated malfunctions eliminated. Conclusion: The intracorporeal one-hand tie technique is an easy, reliable, and cost-effective method in controlling the renal pedicle during HARN. Its efficacy in pedicle control is beyond doubt.

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