Hand-assisted transperitoneal laparoscopic living donor nephrectomy / 中华泌尿外科杂志

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.