Document Detail


Obtaining cuff of inferior vena cava by use of the Endo-TA stapler in retroperitoneoscopic right-side donor nephrectomy.
MedLine Citation:
PMID:  17482916     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To determine the feasibility of obtaining an adequate cuff of the inferior vena cava (IVC) for vascular anastomosis during retroperitoneoscopic donor nephrectomy. METHODS: Between September 2004 and May 2005, a total 100 retroperitoneoscopic donor nephrectomies were performed. Fifteen cases were performed on the right side. The Endo-TA stapler was used to obtain the cuff of IVC in all cases of right-side donor nephrectomy. RESULTS: Mean warm ischemia time was 4.9 minutes (range, 2.96 to 8.0 minutes). Mean length of the cuff of IVC was 4 mm (range, 3 to 6 mm) at the upper end and 6 mm (range, 4 to 8 mm) at the lower end of the vein. All grafts functioned immediately, and there was one graft loss due to vascular rejection. CONCLUSIONS: Control of the renal vein by use of the Endo-TA stapler during retroperitoneoscopic donor nephrectomy helps in obtaining a good vascular cuff of the IVC.
Authors:
Pranjal Modi; Gaurang Kadam; Amit Devra
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Urology     Volume:  69     ISSN:  1527-9995     ISO Abbreviation:  Urology     Publication Date:  2007 May 
Date Detail:
Created Date:  2007-05-07     Completed Date:  2007-07-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0366151     Medline TA:  Urology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  832-4     Citation Subset:  IM    
Affiliation:
Department of Urology, Institute of Kidney Diseases and Research Centre and Institute of Transplantation Sciences, Civil Hospital Campus, Ahmedabad, India. dr_pranjal@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Blood Loss, Surgical / prevention & control
Cohort Studies
Female
Follow-Up Studies
Graft Rejection
Graft Survival
Humans
Kidney Transplantation / instrumentation*,  methods
Laparoscopy / adverse effects,  methods*
Living Donors*
Male
Middle Aged
Nephrectomy / instrumentation,  methods
Retroperitoneal Space / surgery
Risk Assessment
Sutures*
Treatment Outcome
Vena Cava, Inferior / surgery*

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


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