SciELO - Scientific Electronic Library Online

vol.32 issue3Renal angiomyolipoma: presentation, treatment and results of 20 casesPrognostic factors in localised and regionally advanced renal cell carcinoma author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




Related links

  • On index processCited by Google
  • Have no similar articlesSimilars in SciELO
  • On index processSimilars in Google


Actas Urológicas Españolas

Print version ISSN 0210-4806


NUNEZ MORA, C.  and  GARCIA MEDIERO, J.Mª. Preventing urinary fistulas in laparoscopic renal conservative parenchima surgery with purified bovine serum albumin and glutaraldehyde (Bioglue®). Actas Urol Esp [online]. 2008, vol.32, n.3, pp.316-319. ISSN 0210-4806.

Introduction: Urinary fistulas remain an important conservative renal parenchyma surgery (CRPS) complication, especially in central or hiliar tumours and bigger than 4 cm. Herein we present our initial experience preventing fistulae with BioGlue® (Criolife Inc GA, USA) on laparoscopic CRPS in which urinary tract was opened. Patients and methods: We performed 5 laparoscopic CRPS between September 2005 and February 2006 in which urinary tract was necessarily opened. Previous uretheral catheter, transperitoneal approach, selective arterial control, tumorectomy or heminephrectomy, suturing urinary tract and renal parenchyma and BioGlue® administration was performed. Results: Median follow up time was 8.2 months (6-12 months). Median surgery time was 138 minutes (105-180 minutes) with a median ischemia time of 45 minutes (35-60). Uretheral catheter was removed before second post-op day in all cases. Average discharged day was 3.8 (3-5 days). One patient required intraoperative transfusion due to breaking Rummel tourniquet and one arterio- calyceal fistula on tenth day pos-op that required selective embolization remained the worst complication. Neither urinary fistulas nor urinomas were reported. Conclusions: Uretheral cathetesim, suturing urinary tract and parenchyma in an independent fashion and applying some kind of surgical adhesive such as BioGlue® seems to reduce the urinary fistulae risk in laparoscopic CRPS.

Keywords : Surgical adhesives; Laparoscopic renal tumorectomy; Renal cancer.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )


Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License