Hand-assisted laparoscopic nephrectomy in living donor
Int. braz. j. urol
;
29(1): 11-17, Jan.-Feb. 2003. ilus, tab
Article
Dans Anglais
| LILACS
| ID: lil-347560
RESUMO
OBJECTIVE:
Report the authorsÆ initial experience with hand-assisted laparoscopic nephrectomy technique in renal donors for transplantation. MATERIALS ANDMETHODS:
Twenty-seven donors submitted to hand-assisted laparoscopic nephrectomy were retrospectively analyzed from February 2001 to June 2002. Technical aspects of the donor surgery, results, and complications, are discussed, as well as recipientÆs complications and outcomes.RESULTS:
Among 27 hand-assisted laparoscopic nephrectomies, left kidney was withdrew in 18 donors (66.6 percent), and right kidney in 9 (33.3 percent). The operative time ranged from 55 to 210 minutes (mean 132.7 ± 37.6 min), and the time of hot ischemia ranged from 2 to 11 minutes (mean 4.7 ± 2.5 min), with an estimated mean blood loss during the intraoperative period of 133.3 mL. Conversion to open surgery was necessary for 1 (3.7 percent) patient due to vascular lesion. In graft evaluation, immediate diuresis was observed in 26 (96.3 percent) cases, and mean serum creatinine in PO day 7 was 1.5 ± 1.1 mg/dL. Renal vein thrombosis occurred in 1 (3.7 percent) patient requiring graft removal. Lymphocele was observed in 3 recipients (11.1 percent), and urinary leakage due to ureteral necrosis in 1 case (3.7 percent).CONCLUSION:
Hand-assisted laparoscopic nephrectomy in living donors is a safe procedure and an effective alternative to open nephrectomy. In this series, the procedure presented low morbidity after surgery providing to the recipient a good morphological and functional quality of the graft
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
langue:
Anglais
Texte intégral:
Int. braz. j. urol
Thème du journal:
Urologie
Année:
2003
Type:
Article
Pays d'affiliation:
Brésil
Institution/Pays d'affiliation:
Catholic University of Paraná/BR
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