Hemostatic techniques for kidney resection

Abstract

renal cell carcinoma is an urgent problem in urologic oncology practice. The wide use of radiodiagnostic methods has increased the detection rate of small localized tumors, leading to an increase in the number of patients, for whom organ-sparing surgery is indicated. Kidney resection is the most common, effective, and relatively safe treatment option in this contingent of patients. At the same time, kidney resection is related to the need for hemostasis during operations on the actively vascularized organ. Thus, adequate hemostasis is the most important surgical stage during kidney resection. hemostatic procedures are diverse and include different mechanical, physical, and chemical exposures of the vascularized parenchyma of the organ. The literature covering different hemostatic techniques during kidney resection are reviewed. The results of large-scale studies assessing different hemostatic procedures are given.