Robot-assisted partial nephrectomy with Sutureless technique by application of the Veriset™ patch

Abstract

This was the case of a 60-year-old woman diagnosed with a 6-cm cT1b renal mass (RENAL score 8). The patient was counseled for transperitoneal RPN. Anatomical tumor resection was conducted off-clamp. After the renal mass was excised, some venous bleeding foci were evident from the resection bed. By monopolar coagulation, these were managed, reducing active bleeding. Given the wide and flat surface area of the resection bed, a Veriset™ (Medtronic, Minneapolis, MN, USA) patch was introduced. We secured it to the resection bed using irrigation. Within less than a minute, hemostasis was achieved. We opted to avoid renorrhaphy.

Keywords

• Partial nephrectomy
• Resection techniques
• Clampless
• Off-clamp
• Technique
• Sutureless