Laparoscopic renovascular surgery is feasible, and its short-term and intermediate-term efficacy has been shown in the laboratory and clinical settings to a limited degree. Laparoscopic renal revascularization is technically challenging, especially the free-hand intracorporeal suturing and knot-tying steps, and there is clearly a need for further refinement in surgical instrumentation to minimize the steep learning curve associated with laparoscopic vascular suturing and reconstruction.

Prior to embarking on laparoscopic renovascular surgery, adequate skills in laparoscopic reconstructive techniques are mandatory for success.

Atraumatic control and handling of the vascular tissues and precise laparoscopic vascular suturing in a meticulous and time sensitive manner are necessary to achieve successful outcome.

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