Supplementary Table 2A.

Suggested techniques and strategies from round 2

Prior to tumor resection	During tumor resection	During renorrhaphy
Clamping artery + vein vs. artery alone Discontinuation of anti-platelet agents Renal mobilization and hilar dissection Selective arterial clamping Adequate pneumoperitoneum Prior suture preparation Newly suggested: Robotic – ensure trocars/tract visible if instrument change needed Having gelatin based sealant ready aving Vloc ready	Enucleation Early clipping of vessels Reducing resection margin to tumor (staying close to tumor) Increasing pneumoperitoneum Assistant to apply pressure Unclamping vein if bleeding Modification to existing: Apply pressure to bleeding sites	Barbed stitch/Vloc Gelatin thrombin agents (Floseal, Surgiflo) Placing clips over knot tying Re-approximation of Gerota’s Placement of a drain Early unclamping and suture ligate arterial bleeders Newly suggested: N/A

Bold indicates agreement/approval of the principle for next round.