V-Lock ® for Hemostasis and Reconstruction in Minimally Access Partial Nephrectomy

Abstract

Introduction:

Minimally invasive surgery is a reliable option for partial nephrectomy (PN), a procedure in which reconstruction and hemostasis remain challenging steps of the operation. We present our initial experience with an absorbable knotless wound closure device (V-Loc180^®) deployed to achieve timely and adequate hemostasis and reconstruction in minimally access PN.

Materials and Methods (including a description of the video):

Cases of PN for exophitic renal enhancing masses performed under pure laparoscopy, laparoendoscopic single site (LESS), and robotic assistance are presented. A transperitoneal approach with complete tumoral dissection, vascular control, parenchymal reconstruction, and hemostasis was deployed for all cases. A running fashion suture with an absorbable polyglyconate knotless wound closure device was performed in all cases. Renal cavities were closed with regular sutures when necessary.

Results:

Initial operative results of minimally invasive PN performed with V-Lock reconstruction are adequate in terms of operative room (OR) time, reconstruction OR time, warm ischemia time, and operative blood loss. The running suture is easily tight without any damage on the parenchyma. The tension is adequately maintained although any knotting is performed.

Conclusions:

V-Lock appears to be of great interest with a limited cost in PN. In our experience, no vascular or urinary complications were associated with its application.

All authors have declared no conflicts of interest exist.

Runtime of video: 6 mins 57 secs