Comparative Analysis of Pedicular Vascular Control Techniques during Laparoscopic Nephrectomy: En Bloc Stapling or Separate Ligation?

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dc.contributor.authorResorlu, Berkan
dc.contributor.authorOguz, Ural
dc.contributor.authorPolat, Fazli
dc.contributor.authorYesil, Suleyman
dc.contributor.authorUnsal, Ali
dc.date.accessioned2025-01-27T20:54:37Z
dc.date.available2025-01-27T20:54:37Z
dc.date.issued2015
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractObjective: To compare the safety and efficacy of en bloc stapling and separate ligation techniques for renal vascular control during laparoscopic nephrectomy. Patients and Methods: Clinical data were collected from 60 patients who underwent laparoscopic nephrectomies using en bloc stapling (n = 27, group 1) or the separate ligation method (n = 33, group 2). Comparative analysis was carried out between the two groups, examining operative times, blood loss, intra- and postoperative complications and hospital stay. Results: Compared with the separate ligation method, the en bloc hilar control technique was associated with a shorter total operating time (98 vs. 121 min, p = 0.029). However, both groups were similar in terms of estimated blood loss, hemoglobin drop, changes in creatinine level and postoperative hospital stay. The total complication rates in group 1 and 2 were 3.7 and 15.1%, respectively, with a statistically significant difference. There were no complications related to the use of the endo-GIA stapler and no patients required conversion to open surgery in group 1. In group 2, 2 patients required conversion to open surgery, including 1 due to renal vein bleeding secondary to inaccurate vascular control and the other due to bleeding from the vena cava during dissection. In addition, 1 patient had a superficial bowel injury that was repaired laparoscopically and another had a superficial liver tear that was managed without conversion or transfusion. Conclusion: En bloc ligation of the renal hilum is an easy and reliable technique that allows safe and fast control of the renal pedicle. (C) 2014 S. Karger AG, Basel
dc.identifier.doi10.1159/000363250
dc.identifier.endpage82
dc.identifier.issn0042-1138
dc.identifier.issn1423-0399
dc.identifier.issue1
dc.identifier.pmid25139114
dc.identifier.scopus2-s2.0-84923532388
dc.identifier.scopusqualityQ2
dc.identifier.startpage79
dc.identifier.urihttps://doi.org/10.1159/000363250
dc.identifier.urihttps://hdl.handle.net/20.500.12428/26121
dc.identifier.volume94
dc.identifier.wosWOS:000348974900011
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherKarger
dc.relation.ispartofUrologia Internationalis
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20250125
dc.subjectEn bloc stapling
dc.subjectLaparoscopic nephrectomy
dc.subjectSeparate ligation
dc.titleComparative Analysis of Pedicular Vascular Control Techniques during Laparoscopic Nephrectomy: En Bloc Stapling or Separate Ligation?
dc.typeArticle

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