Uropractice is a place to share our knowledge and experiences in different fields of urology
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A 47 years old woman with vague flank pain and 3 cm upper pole solid mass in the right kidney underwent laparoscopic partial nephrectomy. Metastasis work up was negative . There were two main renal arteries and only upper artery (supplying upper pole tumor) was clamped with bulldog , then zero kidney ischemia occurred with no bleeding during excision phase . Kidney suturing was done with 4/0 vicryl without knot (using hem-o-lock clips ). Additional sutures were required tocontrol troublesome bleeding after declamping . Follow up CT-scan after 6 months later revealed good renal function and thickness without evidence of mass