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LAPAROSCOPIC LIVE DONOR RIGHT NEPHRECTOMY: A NEW TECHNIQUE WITH PRESERVATION OF VASCULAR LENGTH

2002; Lippincott Williams & Wilkins; Volume: 167; Issue: 2 Part 1 Linguagem: Inglês

10.1016/s0022-5347(01)69100-6

1527-3792

I. Türk, Serdar Değer, John W. Davis, MARKUS GIESING, Michael D. Fabrizio, B. Schönberger, Gerald H. Jordan, Stefan A. Loening,

Pediatric Urology and Nephrology Studies

No AccessJournal of UrologyCLINICAL UROLOGY: Urologists at Work1 Feb 2002LAPAROSCOPIC LIVE DONOR RIGHT NEPHRECTOMY: A NEW TECHNIQUE WITH PRESERVATION OF VASCULAR LENGTH INGOLF A. TURK, SERDAR DEGER, JOHN W. DAVIS, MARKUS GIESING, MICHAEL D. FABRIZIO, BERND SCHÖNBERGER, GERALD H. JORDAN, and STEFAN A. LOENING INGOLF A. TURKINGOLF A. TURK , SERDAR DEGERSERDAR DEGER , JOHN W. DAVISJOHN W. DAVIS , MARKUS GIESINGMARKUS GIESING , MICHAEL D. FABRIZIOMICHAEL D. FABRIZIO , BERND SCHÖNBERGERBERND SCHÖNBERGER , GERALD H. JORDANGERALD H. JORDAN , and STEFAN A. LOENINGSTEFAN A. LOENING View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)69100-6AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We report our initial experience with right laparoscopic live donor nephrectomy using a modified vascular clamp for achieving maximal length of the renal vein. Materials and Methods: Since 1999, 34 patients have undergone laparoscopic live donor nephrectomy at Charité Hospital in Berlin, including 30 on the left and 4 on the right side. The right technique involves a 4-port transperitoneal laparoscopic approach with a muscle splitting lumbar incision for kidney extraction. To duplicate completely the comparable open operation a modified Satinsky atraumatic vascular clamp (Aesculap, Inc., Center Valley, Pennsylvania) was introduced through a 1 cm. lateral incision and placed across the vena cava, enabling harvest of the full length of the renal vein flush with the vena cava. The vena cavotomy is closed with a running suture placed in intracorporeal fashion. Results: All procedures were successfully accomplished without technical or surgical complications. Mean operative time was 170 minutes. Mean renal warm ischemia time from endoscopic cross clamping of the renal vessels to cold perfusion on the bench was 2.1 minutes. In all 4 kidneys it was possible to harvest the whole length of the renal vein, so that the recipient operation was performed under optimal vascular conditions. All 4 kidneys were transplanted successfully in the recipients and showed immediate function. Conclusions: Right laparoscopic live donor nephrectomy is technically feasible, safe and a viable option for minimally invasive organ donation when left kidney donation is not desired. The Satinsky atraumatic vascular clamp enabled harvest of the whole right renal vein. We believe that this laparoscopic technique effectively duplicates the open operation with less morbidity. References 1 : Laparoscopic live donor nephrectomy. Urol Clin North Am1999; 26: 247. Google Scholar 2 : Spousal and other living renal donor transplants. In: Clinical Transplants 1997. Edited by . Los Angeles: UCLA Tissue Typing Laboratory1998: 269. Google Scholar 3 : Laparoscopic live donor nephrectomy. Transplantation1995; 60: 1047. Google Scholar 4 : Renal transplantation: laparoscopic live donor nephrectomy. Urol Clin North Am2000; 27: 777. Google Scholar 5 : Laparoscopic live donor nephrectomy: the University of Maryland 3-year experience. J Urol2000; 164: 1494. Link, Google Scholar 6 : Laparoscopic donor nephrectomy. Semin Laparosc Surg2000; 7: 195. Google Scholar 7 Jacobs, S. C., Dunking, B. J., Flowers, J. L. et al: Evolution of technique for laparoscopic donor nephrectomy. Presented at the Society of Laparoendoscopic Surgeons, New York, New York, December 4–7, 1999 Google Scholar 8 : A technique for management of multiple renal arteries after laparoscopic donor nephrectomy. Transplantation1997; 64: 779. Google Scholar 9 : Laparoscopic live donor nephrectomy: technical considerations and allograft vascular length [letter to the editor]. Transplantation1998; 65: 1657. Google Scholar 10 : Editorial comment. J Urol2000; 164: 1499. Google Scholar 11 : Laparoscopic retroperitoneal live donor right nephrectomy for purposes of allotransplantation and autotransplantation. J Urol2000; 164: 1500. Link, Google Scholar 12 : Laparoscopic live donor nephrectomy: outcomes equivalent to open surgery. J Endourol2000; 14: 811. Google Scholar From the Department of Urology, Charité Hospital, Medical School of the Humboldt University, Berlin, Germany, and Department of Urology, Eastern Virginia Medical School, Norfolk, Virginia© 2002 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byBarry J (2018) Living Donor NephrectomyJournal of Urology, VOL. 171, NO. 1, (61-62), Online publication date: 1-Jan-2004.ABRAHAMS H, FREISE C, KANG S, STOLLER M and MENG M (2018) Technique, Indications and Outcomes of Pure Laparoscopic Right Donor NephrectomyJournal of Urology, VOL. 171, NO. 5, (1793-1796), Online publication date: 1-May-2004.El-Galley R, Hood N, Young C, Deierhoi M and Urban D (2018) DONOR NEPHRECTOMY: A COMPARISON OF TECHNIQUES AND RESULTS OF OPEN, HAND ASSISTED AND FULL LAPAROSCOPIC NEPHRECTOMYJournal of Urology, VOL. 172, NO. 4 Part 1, (1547-1547), Online publication date: 1-Oct-2004. Volume 167Issue 2 Part 1February 2002Page: 630-633 Advertisement Copyright & Permissions© 2002 by American Urological Association, Inc.Keywordskidneynephrectomylaparoscopykidney transplantationliving donorsMetricsAuthor Information INGOLF A. TURK More articles by this author SERDAR DEGER More articles by this author JOHN W. DAVIS More articles by this author MARKUS GIESING More articles by this author MICHAEL D. FABRIZIO Financial interest and/or other relationship with Cook Urological and US Surgical. More articles by this author BERND SCHÖNBERGER More articles by this author GERALD H. JORDAN More articles by this author STEFAN A. LOENING More articles by this author Expand All Advertisement PDF downloadLoading ...