A New Renal Tourniquet for Open and Laparoscopic Partial Nephrectomy

No AccessJournal of UrologyClinical Urology: Urologists At Work1 Sep 1995A New Renal Tourniquet for Open and Laparoscopic Partial Nephrectomy Inderbir S. Gill, Larry C. Munch, Ralph V. Clayman, J. William McRoberts, Bonita Nickless, and Frederick D. Roemer Inderbir S. GillInderbir S. Gill More articles by this author , Larry C. MunchLarry C. Munch More articles by this author , Ralph V. ClaymanRalph V. Clayman More articles by this author , J. William McRobertsJ. William McRoberts More articles by this author , Bonita NicklessBonita Nickless More articles by this author , and Frederick D. RoemerFrederick D. Roemer More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)66991-XAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We describe a novel double loop renal parenchymal tourniquet for obtaining hemostasis during open and laparoscopic partial nephrectomy. Methods: One loop is positioned around the upper and 1 around the lower renal poles, thus securely entrapping the kidney. During partial nephrectomy the corresponding loop is double looped and cinched, thus achieving a tourniquet effect. The renal artery is not occluded. Intraoperative renal hypothermia is not required. Results: The renal tourniquet was used clinically during 6 open and 1 laparoscopic partial nephrectomies. Furthermore, during laparoscopic nephrectomy (5 porcine and 1 clinical cases) the double loop apparatus allowed for improved maneuverability of the kidney. Conclusions: The novel renal tourniquet affords adequate renal parenchymal hemostasis during open and laparoscopic partial nephrectomy. References 1 : Nephrom sparing surgery for renal cell carcinoma. J. Urol.1993; 149: 1. Abstract, Google Scholar 2 : Complications of nephron-sparing surgery for renal malignancy. J. Urol.1993; 149: 350A. abstract 549. Google Scholar 3 : Conservative surgery of renal carcinoma: the EIRSS experience. Brit. J. Urol.1981; 53: 528. Google Scholar 4 : Progression and survival after renal-conserving surgery for renal cell carcinoma: experience in 104 patients and extended followup. J. Urol.1990; 144: 852. Link, Google Scholar 5 : Advances in urological laparoscopy. J. Urol.1996; . in press. Google Scholar 6 : Laparoscopic partial nephrectomy in the pig model. J. Urol.1993; 149: 1633. Link, Google Scholar 7 : Human laparoscopic partial nephrectomy—case report. J. Endourol.1992; 6: B15. Google Scholar 8 : Laparoscopic partial nephrectomy: lessons learned. J. Urol.1994; 151: 496A. abstract 1076. Google Scholar 9 : Laparoendoscopic upper pole partial nephrectomy with ureterectomy. J. Urol.1993; 150: 940. Link, Google Scholar 10 : Expanding indications for laparoscopy in pediatric urology: an update. J. Endourol.1993; 7: S140. Google Scholar 11 : Laparoscopic retroperitoneal partial nephrectomy. J. Urol.1994; 152: 1539. Link, Google Scholar 12 : Kidney tourniquet: a new instrument for regional blood control in partial nephrectomy. Urology1987; 30: 162. Google Scholar Division of Urology, University of Kentucky Medical Center, Lexington, Kentucky, Division of Urology and Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri and Cook Urological Inc., Spencer, Indiana© 1995 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byWRIGHT J and PORTER J (2018) LAPAROSCOPIC PARTIAL NEPHRECTOMY: COMPARISON OF TRANSPERITONEAL AND RETROPERITONEAL APPROACHESJournal of Urology, VOL. 174, NO. 3, (841-845), Online publication date: 1-Sep-2005.HERRELL S (2018) LAPAROSCOPIC PARTIAL NEPHRECTOMY TECHNIQUES: DEVELOPMENTS AND TRANSLATIONJournal of Urology, VOL. 172, NO. 6 Part 2, (2553-2556), Online publication date: 1-Dec-2004.KIM F, RHA K, HERNANDEZ F, JARRETT T, PINTO P and KAVOUSSI L (2018) Laparoscopic Radical versus Partial Nephrectomy: Assessment of ComplicationsJournal of Urology, VOL. 170, NO. 2, (408-411), Online publication date: 1-Aug-2003.GUILLONNEAU B, BERMÚDEZ H, GHOLAMI S, EL FETTOUH H, GUPTA R, ADORNO ROSA J, BAUMERT H, CATHELINEAU X, FROMONT G and VALLANCIEN G (2018) Laparoscopic Partial Nephrectomy for Reanl Tumor: Single Center Experience Comparing Clamping and No Clamping Techniques of the Renal VasculatureJournal of Urology, VOL. 169, NO. 2, (483-486), Online publication date: 1-Feb-2003.GILL I, DESAI M, KAOUK J, MERANEY A, MURPHY D, SUNG G and NOVICK A (2018) LAPAROSCOPIC PARTIAL NEPHRECTOMY FOR RENAL TUMOR: DUPLICATING OPEN SURGICAL TECHNIQUESJournal of Urology, VOL. 167, NO. 2 Part 1, (469-476), Online publication date: 1-Feb-2002.MEJEAN A, VOGT B, CAZIN S, BALIAN C, POISSON J and DUFOUR B (2018) NEPHRON SPARING SURGERY FOR RENAL CELL CARCINOMA USING SELECTIVE RENAL PARENCHYMAL CLAMPINGJournal of Urology, VOL. 167, NO. 1, (234-235), Online publication date: 1-Jan-2002. Volume 154Issue 3September 1995Page: 1113-1116 Advertisement Copyright & Permissions© 1995 by American Urological Association, Inc.MetricsAuthor Information Inderbir S. Gill More articles by this author Larry C. Munch More articles by this author Ralph V. Clayman More articles by this author J. William McRoberts More articles by this author Bonita Nickless More articles by this author Frederick D. Roemer More articles by this author Expand All Advertisement PDF downloadLoading ...