Use of the Habib 4       radiofrequency-assisted bipolar hemostatic device to avoid warm XXXX in select large partial nephrectomies: description and video of technique.

@entity1 @entity8 @entity63 @entity190 @entity5 @entity703
OBJECTIVES: The Habib 4       radiofrequency-assisted bipolar hemostatic device (AngioDynamics) was used during select open partial nephrectomies to minimize @entity190 and prevent warm @entity8 . The article and video demonstrate this novel technique for partial nephrectomies in select renal masses. METHODS: @entity1 with large @entity703 requiring partial nephrectomy where avoidance of warm @entity63 was deemed imperative underwent open partial nephrectomy at our institution utilizing the Habib 4       radiofrequency ablation device to avoid prolonged warm @entity63 time and prevent @entity190 . RESULTS: We have used the device successfully in 4 partial nephrectomies (2 @entity1 with solitary kidneys, 2 @entity1 with bilateral large masses). The mean age was 65 years. Mean @entity5 size was 6.4   cm. All @entity5 were located either in the upper pole or lower pole of the kidney. Mean hospital stay was 4.6 days. No @entity1 received an intraoperative blood transfusion. Two @entity1 required long-term ureteral stenting and surgical drainage for urine leakage. CONCLUSIONS: Bipolar radiofrequency ablation offers avoidance of hilar clamping in carefully selected large partial nehrectomies.
