Document Detail

Methods of vascular control during laparoscopic donor nephrectomy.
MedLine Citation:
PMID:  16859456     Owner:  NLM     Status:  MEDLINE    
Vascular control during laparoscopic donor nephrectomy (LDN) requires expeditious control of the renal artery and vein while preserving maximum graft vascular length. The vascular stapler with three rows of staples on either side of the division has been widely used, but it loses more vascular length than other methods. In the accompanying video, we illustrate vascular control with the different staplers and locking polymer clips. The techniques include two nonabsorbable polymer ligating clips (10-mm Hem-o-Lok; MLX Weck Closure Systems), the Endo-GIA Universal stapler (35-mm length, 2.5-mm staples; Autosuture), and the Endo-TA 30 stapler (30-mm length, 2.5-mm staples; Autosuture). In an in-vitro study, we previously determined that the Endo-TA 30 stapler and the polymer clips resulted in significantly less compromise of the vessel length compared with the other methods of vascular control. LDN has been recently included by the clip manufacturer as a contraindication for the use of the polymer locking clips. The Endo TA stapler can be used when preservation of maximum graft vascular length is important.
Chandru P Sundaram; Vladislav Bargman; Jonathan E Bernie
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of endourology / Endourological Society     Volume:  20     ISSN:  0892-7790     ISO Abbreviation:  J. Endourol.     Publication Date:  2006 Jul 
Date Detail:
Created Date:  2006-07-24     Completed Date:  2006-11-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8807503     Medline TA:  J Endourol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  467-9; discussion 469-70     Citation Subset:  IM    
Department of Urology, Indiana University School of Medicine, Indianapolis, Indiana 46202-5289, USA.
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MeSH Terms
Ischemia / prevention & control
Kidney / blood supply,  surgery
Kidney Transplantation / methods*
Laparoscopy / methods*
Living Donors*
Nephrectomy / instrumentation*,  methods*
Renal Artery / surgery
Renal Veins / surgery

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

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