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Combined these articles provide two important More Information for the operator with the laparoscopic partial nephrectomy concerned UroToday.com-Taken. Firstly, ischemic preconditioning on pig kidney had been no positive effect on subsequent response of kidney to 90 min of warm ischemia. Especially either 4 cycles of for 4 minutes out of warm ischemia through 11 reperfusion or 10 min after warm ischemia through 15 reperfusion used followed. Second chucking of renal artery or both which arteries and vein during laparoscopic warm ischemia were the same impact on the kidneys during warm ischemia whereas it terminal artery had only while open surgery is advantageous. The pneumoperitoneum effectively reduces renal perfusion thereby largely mimicking which reached by means of clamping well renal artery. These two findings have direct clinical effect. V ischemic preconditioning are is likely of small value his in laparoscopic partial nephrectomy and secondly, it may be useful, with to the dissection of and custom clamping the kidney artery to a bulldog and bulldogs and instead only broad to dissect that hilar and disconnect the complete hilar forego with Satinsky chuck. To use the clamp makes Satinsky requires placing an additional 10mm port, but hilar dissections is less extensive and seem more rapid, risk of damage to the renal vessels can further be restricted, and the security and reliability of the of clamping unwind process can be facilitated. At our college, from the use of from the use of the bulldog practices to employment a a double lock clip Satinsky of Gill and collaborators at the Cleveland Clinic.

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