“…Several hemostatic modalities have been used during LPN with variable success, including argon beam coagulation, neodymium: yttrium-aluminum-garnet (YAG) laser, holmium:YAG laser, Harmonic Scalpel, hand assistance, bipolar electrical current, unipolar spray electrical current, ultrasound scissors, microwave tissue coagulation, cable ties, radiofrequency ablation, and the variable hemostatic sealants. 15,16 When LPN is performed without controlling the renal vessels, the above mentioned hemostatic modalities are used for dissecting the parenchyma. There are inherent limitations, however, such as charring of the tissue, that interfere with the determination of margin status during resection and the assessment of the integrity of the collecting system.…”