Hand-assisted transperitoneal laparoscopic living donor nephrectomy
- VernacularTitle:经腹腔手辅助腹腔镜活体供肾摘取术
- Author:
Ming CAI
;
Bingyi SHI
;
Guosheng DU
;
Al ET
- Publication Type:Journal Article
- Keywords:
Kidney transplantation;
Living donors;
Peritoneoscopy;
Hand assisted
- From:
Chinese Journal of Urology
2001;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To introduce and evaluate the hand assisted transperitoneal laparoscopic technique for living donor nephrectomy. Methods Five cases treated by using the technique of the hand assisted transperitoneal laparoscopic living donor nephrectomy (HLDN) were summaried.The procedure utilized a hand assisted device for laparoscopic technique to increase safety and control of the laparoscopic technique. Results In these 5 cases,only left side nephrectomy were performed.Mean operating time was 116 min,with mean warm ischemia time being 2.8 min.Mean length of renal arteries and renal vein was 1.8 cm and 2.7 cm,respectively.There were no intra or post operative complications. Conclusions HLDN is easier than traditional laparoscopic donor nephrectomy (LDN) for the surgeons,so it can minimize the lear ning curve.HLDN can reduce warm ischemia and operating time,and also facilitate trocar placement.In addition,it can improve the prevention of torsion of the kidney,control of potential bleeding,and in the final stages of vascular stapling and kidney removal.HLDN is a promising new method for living donor nephrectomy.
