Laparoscopic nephrectomy · Rescue · D48

The stapler that did not fire

Allow about two minutes for three rounds. This scenario is teaching content; the score supports revision and does not assess clinical competence.

Laparoscopic nephrectomyRescue · Crisis

The scenario

  • Laparoscopic radical nephrectomy.
  • The renal artery is clipped and divided.
  • The vascular stapler is across the renal vein.
What you see
  • The stapler is fired.
  • It does not cut cleanly.
  • The jaws are closed on the vein and the device will not release.
Left hilum: the vascular stapler across the renal vein
Left hilum: the vascular stapler across the renal vein
Open the animation

Teaching only · not for diagnosis or treatment decisions