Is Enbloc Ligation of Renal Pedicle Safe During Laparoscopic Nephrectomy

Abstract

Laparoscopic approach for nephrectomy is widely performed now days. Both open and laparoscopic approach involves mobilization, individual ligation and division of renal artery and vein as standard of care. 1 Enbloc ligation of renal vessel has been associated with rare complication of post nephrectomy AV fistula. Other causes of Post nephrectomy AVF are inflammation, infection, inadequate ligation and transfixation sutures. 2 Earlier braided silk was used for enbloc ligation which resulted in bacterial accumulation in interstices of suture which caused tissue reactivity and infection.