Hand-Assisted Laparoscopic Partial Nephrectomy in the Porcine Model Using Gelatin Matrix Hemostatic Sealant Without Hilar Occlusion

Abstract

Even without hilar occlusion, GMHS was 100% safe and effective in controlling bleeding after HALPN in the porcine model. Avoidance of hilar occlusion may reduce the risk associated with warm renal ischemia and the extra dissection required to isolate the hilum in preparation for clamping.