ArticleTranslational andrology and urology2026
Bipolar electrocautery hemostasis in sutureless laparoscopic partial nephrectomy for exophytic small renal masses under zero-ischemia: a retrospective single-center experience.
Article in Translational andrology and urology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: The rising detection of small renal masses (SRMs) has heightened the demand for minimally invasive, nephron-sparing surgical strategies. Sutureless laparoscopic partial nephrectomy (LPN) without renal artery clamping avoids ischemia-reperfusion injury (IRI) and preserves renal function, but achieving effective hemostasis is challenging. Bipolar electrocautery can offer reliable hemostasis via localized thermal coagulation, potentially enabling sutureless reconstruction. This retrospective study investigated the feasibility and safety of bipolar electrocautery hemostasis for sutureless LPN for exophytic SRMs without renal artery clamping. Methods: The study included 66 patients who underwent LPN without renal artery clamping for exophytic SRMs between August 2016 and April 2023. Patients were assigned to the suture group (n=42) or the sutureless group (n=24) based on intraoperative hemostatic strategy: barbed suture repair versus bipolar electrocautery. Baseline characteristics, perioperative data, and postoperative outcomes were compared. Generalized linear models (GLM) were used to perform multivariable adjustment for potential confounders including maximum tumor diameter, preoperative hemoglobin (Hb), serum creatinine (SCr), and glomerular filtration rate (GFR). Results: All surgical procedures were performed laparoscopically without renal artery clamping. Baseline characteristics were generally comparable between groups. Within-group analysis showed significant postoperative decreases in Hb and GFR in both groups (P<0.05), while SCr increased significantly only in the suture group (P<0.05). After multivariable adjustment, the sutureless group was associated with shorter operative time (100.82 Conclusions: In selected patients with exophytic SRMs, bipolar electrocautery hemostasis during sutureless LPN performed under zero-ischemia may be feasible and is associated with a shorter operative time, a smaller early postoperative decline in renal function, and no increase in short-term complications. However, this non-randomized retrospective study has inherent limitations, such as potential temporal bias from the later introduction of the sutureless technique. These findings are hypothesis-generating and require confirmation in larger prospective randomized controlled studies.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.