Caveat

■ Tiny persistent communications with the collecting system may be effectively closed by using commercially available tissue sealant products (Step 9).

Is suture repair necessary? Perhaps the question should be "why not?". Intracorporeal suturing is becoming part of the basic laparoscopic skill set. In the interest of adhering to open surgical principles, suture closure of the infundibular connection should be performed whenever possible.

Discussion: Is Suture Repair Necessary?

Of 14 reported cases, only two utilized suture ligation of the infundibular neck, albeit successful in both (18). Of the other 12 cases in which the communication was fulgurated, only one had a prolonged self-limited fluid leak from the primary retroperitoneal port site (20).

Is suture repair necessary? Perhaps the question should be "why not?". Intracorporeal suturing is becoming part of the basic laparoscopic skill set. In the interest of adhering to open surgical principles, suture closure of the infundibular connection should be performed whenever possible.

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