Volume 51, Issue 2, Pages (February 2007)

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Volume 51, Issue 2, Pages 358-365 (February 2007) Nephron-Sparing Surgery for Renal Tumours: Acceleration and Facilitation of the Laparoscopic Technique Axel Häcker, Ansad Albadour, Werner Jauker, Josef Ziegerhofer, Nasser Albquami, Stefan Jeschke, Karl Leeb, Guenter Janetschek European Urology Volume 51, Issue 2, Pages 358-365 (February 2007) DOI: 10.1016/j.eururo.2006.07.025 Copyright © 2006 European Association of Urology Terms and Conditions

Fig. 1 (A) Magnetic resonance imaging shows a 3.7-cm centrally located tumour at the posterior surface of lower pole of the right kidney. (B) Intraoperative view after excision of the tumour. The two Hem-o-lok clips in the foreground occlude a branch of the segmental artery supplying the tumour. The clip in the background occludes the neck of a removed calyx. European Urology 2007 51, 358-365DOI: (10.1016/j.eururo.2006.07.025) Copyright © 2006 European Association of Urology Terms and Conditions

Fig. 2 (A) The renal vein and artery are secured en bloc by umbilical tape. The tape runs on the outside of a trocar. Warm ischaemia time is induced by pulling on the vascular loop (Rumel tourniquet). The tube is secured with a clip. (B) Repair of the interstitial tissue (medulla) using a running suture. This suture is secured on both sides with a resorbable clip (LAPRA-TY II). (C) Renal parenchymal repair using a running suture. The distal end is secured by a non resorbable clip (Hem-o-lok). Underneath the suture a bolster (Tapotamp) is placed. (D) Renal parenchymal repair is completed. The running suture is tightened and secured by non-resorbable clips (Hem-o-lok). European Urology 2007 51, 358-365DOI: (10.1016/j.eururo.2006.07.025) Copyright © 2006 European Association of Urology Terms and Conditions