The following video presents the use of polymer (hem-o-lok) clips for management of the renal hilum. Control of the renal pedicle is the most challenging step during laparoscopic nephrectomy. The standard method is to clip the artery and control the vein with an endovascular gastrointestinal anastomosisstapler. However, this device is expensive and has been reported to malfunction, leading to major complications even death. Using the Hem-o-lok clip to ligate both the renal artery and vein with prior constriction of the vein using a Babcock is an easy and reliable technique that allows quicker, safer, and more cost-effective control of the renal vein during a laparoscopic nephrectomy.
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