![]() The average total operative time was 150.75☒7.30 min. Renal vessel sealing with two locking clips was performed in 18 cases (45%) Both, clips and non-transfixing ligatures were used in 22 cases (55%). A total of n=21 (52.5%) left and n=19 (47.5%) right kidneys were procured. ![]() Results: RANLD almost quintupled in our center for the observed time period. Vascular closure of renal vessels was performed by either double clipping or a combination of clips and non-transfixing suture ligatures. Methods: We retrospectively analyzed perioperative and short-term outcomes of our first (n=40) RANLD performed with the da Vinci Si surgical platform. ![]() ![]() Opinions about the safety of specific techniques of vascular closure in minimally invasive living kidney donation are heterogeneous and may be different for laparoscopic and robotic assisted surgical techniques.
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