Hand-Assisted Laparoscopic Right Donor Nephrectomy: Safety and Feasibility

PURPOSE: We aimed to prove the safety and feasibility of right-sided hand-assisted laparoscopic donor nephrectomy (HALDN). MATERIALS AND METHODS: Between May 2006 and May 2009, 16 patients underwent right-sided HALDN at our institution. Of these patients, 15 showed significantly lower renal function in the right kidney than in the left one and 1 had a stone in the right kidney. When the right renal vein was divided, an EndoGIA stapling device was placed on the wall of the inferior vena cava to gain a maximal length of the vein. We evaluated intraoperative and postoperative parameters such as operative time, delivery time, warm ischemic time, estimated blood loss, intraoperative and postoperative complication rates, length of hospital stay, and serum creatinine levels of donors (at the time of discharge) and recipients (4 weeks postoperatively), comparing the right-sided HALDN group (our study) with a left-sided HALDN group (from a previously reported study). RESULTS: A total of 16 right-sided HALDNs were successfully performed without any complications or open conversion. All of the intraoperative and postoperative parameters were similar between the right-sided HALDN and left-sided HALDN groups. There were no technical problems in the recipients in the anastomosis of the renal vein, and the ureteral anastomoses were also successful. CONCLUSIONS: Right-sided HALDN is safe and technically feasible in a donor, showing favorable graft outcomes. The results of our study suggest that right-sided HALDN may be preferable in patients with significantly lower renal function in the right kidney than in the left one.

Cavernous Hemangioma in the Renal Pelvis / 대한비뇨기과학회지

Hemangioma in the urinary tract is a very rare benign tumor that usually causes painless or painful gross hematuria. Its preoperative diagnosis is extremely difficult or even impossible. A female 47-year old patient presented with painless gross hematuria that she'd experience for 4 days. The patient underwent abdominal ultrasound, intravenous pyelography (IVP), cystoscopy, urine cytology, retrograde pyelography (RGP), kidney dynamic computed tomography (CT) and surgical excision. She was finally diagnosed with cavernous hemangioma in the renal pelvis.

Cavernous Hemangioma in the Renal Pelvis / 대한비뇨기과학회지

Hemangioma in the urinary tract is a very rare benign tumor that usually causes painless or painful gross hematuria. Its preoperative diagnosis is extremely difficult or even impossible. A female 47-year old patient presented with painless gross hematuria that she'd experience for 4 days. The patient underwent abdominal ultrasound, intravenous pyelography (IVP), cystoscopy, urine cytology, retrograde pyelography (RGP), kidney dynamic computed tomography (CT) and surgical excision. She was finally diagnosed with cavernous hemangioma in the renal pelvis.

Congenital Prepubic Sinus: A Variant of Urethral Duplication / 대한비뇨기과학회지

Congenital prepubic sinus(CPS) is an extremely rare congenital anomaly of the external genitalia of uncertain etiology. Herein, a case of CPS, where immunohistochemical staining was performed to elucidate the etiology of the sinus, is reported. The results of the immunohistochemical study demonstrated the lining epithelium was transitional proximally and squamous distally. These findings suggest that CPS is a variant form of dorsal urethral duplication.