Abstract
The goal of intracorporeal morcellation after laparoscopic nephrectomy is to decrease postoperative pain, shorten the hospital stay, improve cosmesis, and hasten the patient's return to work. Owing to philosophical concerns about accurate staging of renal cell cancer and technical concerns regarding sack bursting or instrument puncture, intracorporeal morcellation of the kidney has been discouraged at many institutions and is seen as a time-consuming effort because it requires the use of a highly durable and impermeable entrapment sack such as the LapSac (Cook Urological, Spencer, Ind), which does not come with a deployment system. Thus, the floppy-mouthed sack must be triangulated using grasping forceps or tented open using a hydrophilic guidewire while the surgeon maneuvers the specimen into the sack.1
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