Interstitial laser ablation of the kidney: acute and chronic porcine study using new-generation diffuser tip fiber.

Background And Purpose: Many ablative techniques have been described for treatment of small renal tumors. We investigated interstitial laser ablation (ILA) of porcine kidneys with a new-generation diffuser tip fiber.

Materials And Methods: Six female farm pigs underwent bilateral lower-pole ILA of normal kidneys via a midline approach.

Use of Lowsley tractor during laparoscopic prostatectomy to reduce urethrovesical anastomotic tension.

We describe a technique to reduce the tension on the urethra while performing the urethrovesical anastomosis during a laparoscopic radical prostatectomy. A Lowsley tractor is passed through the urethral stump, and a single traction stitch is placed in the posterior bladder neck. The first anastomotic stitch is placed through the urethra and bladder neck at the 6 o'clock position but not tied.

Laparoscopic partial nephrectomy: hand-assisted technique.

Laparoscopic partial nephrectomy (LPN) is a challenging procedure that has become more popular as techniques have evolved and made the procedure more standardized. We present our hand-assisted technique for LPN. In order to meet the challenges of larger, deeper lesions and to address complications, our technique has evolved from pure hand assistance to hand assistance with hilar clamping and hemostatic adjuncts.