"Deviceless" hand-assisted laparoscopic donor nephrectomy.

"Deviceless" hand-assisted laparoscopic donor nephrectomy. Research Abstract Details 

Research Abstract Table of Contents

Jump to the:

"Deviceless" hand-assisted laparoscopic donor nephrectomy. Abstract Text:

Hand-assisted laparoscopic nephrectomy (HLN) in living donors is a minimally invasive surgical modality that uses classic laparoscopic techniques combined with the surgeon's hand as a support tool during renal dissection. We describe our experience with 14 donors undergoing HLN with a novel "deviceless" technique (DL-HLN). We used a midline or a paramedian incision. The first 10-mm trocar (camera) was inserted near the umbilicus and another 10-mm trocar placed under laparoscopic vision at the level of the anterior axillary line above the iliac crest. DL-HLN was performed in 14 patients (11 women and 3 men) of overall mean age of 40 years (range = 33-60). Left nephrectomy was performed in all cases. Mean surgical time was 105 minutes (range = 60-150). Estimated blood loss was 50 to 800 mL (mean = 200 mL). Mean warm ischemia time was 3.5 minutes (range = 2-11). Mean hospital stay was 4 days (range = 3-6). In one case, uncontrollable hemorrhage developed due to a renal vein lesion at the level of the adrenal vein outlet, requiring conversion to open surgery. As to graft function, recipient serum creatinine on day 7 ranged from 0.9 to 2.6 mg/dL (mean = 1.6). We used no device in our technique. The pneumoperitoneum was maintained by the sealing effect of the muscular fascia around the surgeon's wrist. Moreover, the kidney was removed through the hand port without an Endobag. Our modified HLN technique avoids the use of costly disposables and offers the advantages of a smaller incision.

"Deviceless" hand-assisted laparoscopic donor nephrectomy. Publishing Authors By Initials

For similar abstracts research abstracts see: abstracts research

PUBMED ID PMID:

MEDLINE DATE:

"Deviceless" hand-assisted laparoscopic donor nephrectomy. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Transplantation proceedings

VOLUME: 40

Page Numbers: 1829-30

Journal Abbreviation: Transplant. Proc.

ISSN: 0041-1345

DAY: 4

MONTH: 08

YEAR: 2008

"Deviceless" hand-assisted laparoscopic donor nephrectomy. Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 243532

"Deviceless" hand-assisted laparoscopic donor nephrectomy. Keywords Mesh Terms:

KEYWORDS:

MESH TERMS:

Chemical & Substance for Abstract: "Deviceless" hand-assisted laparoscopic donor nephrectomy. Information

Substance Name:

Registry Number:

Grant and Affiliation Information for "Deviceless" hand-assisted laparoscopic donor nephrectomy.

AFFILIATION: Department of Emergency and Organ Transplantation, Urology and Kidney Transplantation Unit, University of Bari, Bari, Italy.

Country: United States

AGENCY:

GRANT:

ACRONYM:

MEDLINETA: Transplant Proc

REFSOURCE:

DATABASENAME:

ACCESSION NUMBER:

Number Hits: 0

"Deviceless" hand-assisted laparoscopic donor nephrectomy Related Publications

• "Deviceless" hand-assisted laparoscopic donor nephrectomy.
• A randomized study comparing triptorelin or expectant management following conservative laparoscopic surgery for symptomatic stage III-IV endometriosis.
• Assisted reproductive technology in Italy: juridical and ethical considerations.
• Back to basics: Validation of automated as compared to manual slide staining in the cytopathology laboratory.
• Clinical Evidence Supporting the Role of Lonidamine for the Treatment of BPH.
• Current insights in renal cell cancer pathology.
• Cytotoxic chemotherapy in advanced non-small cell lung cancer.
• Estimation of birth weight by two-dimensional ultrasonography: a critical appraisal of its accuracy.
• Estimation of fetal weight by measurement of fetal thigh soft-tissue thickness in the late third trimester.
• Incidentally discovered yellowish lesions in a renal graft from a deceased donor.
• Leptomeningeal involvement after remission of brain metastases from ovarian cancer.
• Neoadjuvant chemotherapy: an alternative option of treatment for locally advanced cervical cancer.
• Rectal diverticulum: a new complication of STARR procedure for obstructed defecation.
• Social determinants of the increasing caesarean section rate in Italy.
• Superior mesenteric artery syndrome in type 1 diabetes masquerading as gastroparesis.
• The image of surgical infection: hidradenitis suppurativa and Ancylostoma braziliense.
• Unusual solitary metastasis of the ciliary body in renal cell carcinoma.
• [Not Available.]