Unclamped Arterial branch during partial nephrectomy

Patient profile 55 year old male. Nil past medical history. Normal renal function Tumour profile Right upper pole posterior bi-lobed tumour Nephrometry: R2 N2 N3 P L3 = 10p Kidney anatomy Single renal artery, small upper pole accessory. Surgical lessons In event of excessive bleeding, reinspect hilum for renal arterial branches or accessory branches. Final histology pT1b (5cm) cc RCC. Margins negative.