ISSN 1308-8734 | E-ISSN 1308-8742
Original Article
The use of three different hemostatic agents during laparoscopic partial nephrectomy: A comparison of surgical and early renal functional outcomes
1 Department of Urology, Bağcılar Training and Research Hospital, İstanbul, Turkey  
2 Clinic of Urology, Çatalca İlyas Çokay State Hospital, İstanbul, Turkey  
Eurasian J Med ; : -
DOI: 10.5152/eurasianjmed.2018.18293
Key Words: Hemostasis, Equipment, Nephrectomy, Laparoscopy
Abstract

Objective: To compare the effects of three different hemostatic agents on surgical and early renal functional outcomes after laparoscopic partial nephrectomy (LPN).

 

Methods: A total of 126 LPN cases performed between November 2008 and September 2016 were enrolled to the study. Spongostan™ Absorbable Hemostatic Gelatin Sponge (Ethicon, Somerville, NJ, USA), or Surgicel® Original Absorbable Hemostat (Ethicon, Somerville, NJ, USA), or a total of 5 mL of Floseal® Hemostatic Matrix (Baxter Healthcare, Deerfield, IL) were used for additional hemostasis. Patients were divided three groups according to hemostatic agent used and, patient characteristics, body mass index (BMI), American Society of Anesthesiologists (ASA) score, tumor characteristics, perioperative parameters, serum creatinine levels and complications were compared between the groups.

 

Results: Age, BMI, ASA score, tumor characteristics, operative time, warm ischemia time, complication rates and length of hospital stay were similar between the groups, whereas estimated blood loss was significantly lower in the Floseal Group (P=0.01). Postoperative serum creatinine levels and differences between preoperative and postoperative serum creatinine levels were also similar between the groups.

 

Conclusion: Type of hemostatic agent used in LPN may affect the estimated blood loss. However, it has no any substantial effects on other surgical parameters and early renal functional outcomes.

 

Cite this article as: Aykan S, Temiz MZ, Ulus I, et al. The use of three different hemostatic agents during laparoscopic partial nephrectomy: A comparison of surgical and early renal functional outcomes. Eurasian J Med 2018; 50: 10.5152/eurasianjmed.2018.18293.

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