Document Detail


Hand-assisted retroperitoneoscopic living-donor nephrectomy: initial 10 cases.
MedLine Citation:
PMID:  12085011     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Most living-donor nephrectomies are performed either by transperitoneal laparoscopy, with or without hand assistance, or by retroperitoneal open surgery, with or without video assistance. We therefore started to combine the benefits of these techniques: hand assistance to increase safety and control of the laparoscopic technique, and the retroperitoneal approach to minimize the risk of complications associated with the transabdominal approach. Herein, we report on our first 10 donors nephrectomized with hand-assisted retroperitoneoscopy. RESULTS: Only left nephrectomies were performed. One donor had two renal arteries and two donors had retroaortic renal veins. There were no intra- or postoperative complications. Mean operating time was 155 min (110-230 min). CONCLUSIONS: Hand-assisted retroperitoneoscopy in living-donor nephrectomy is a promising new method that could reduce the risks of traditional transperitoneal laparoscopy and should be further evaluated.
Authors:
Jonas Wadström; Pernilla Lindström
Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  Transplantation     Volume:  73     ISSN:  0041-1337     ISO Abbreviation:  Transplantation     Publication Date:  2002 Jun 
Date Detail:
Created Date:  2002-06-26     Completed Date:  2002-07-11     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0132144     Medline TA:  Transplantation     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1839-40     Citation Subset:  IM    
Affiliation:
Department of Surgery, Uppsala University Hospital, SE-751 85 Uppsala, Sweden. jonas.wadstrom@transpl.uas.lul.se
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Humans
Kidney Transplantation / methods*
Laparoscopy
Living Donors*
Male
Middle Aged
Nephrectomy / methods*
Retroperitoneal Space / surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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