Laparoscopic live‐donor nephrectomy
| Autor: | Peter S. Veitch, Michael L. Nicholson |
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| Rok vydání: | 2000 |
| Předmět: | |
| Zdroj: | Nephrology Dialysis Transplantation. 15:1124-1126 |
| ISSN: | 1460-2385 0931-0509 |
| DOI: | 10.1093/ndt/15.8.1124 |
| Popis: | that kidney transplant waiting lists lengthen each year. One of the potential solutions to this problem is to spleen. The operation begins with mobilization of the increase the use of live donors, a policy that has been colon by incising the lateral peritoneal reflection from particularly successful in Norway [1]. Although living the splenic flexure to the pelvic inlet. The kidney is kidney donation has many advantages, including the then identified by opening the overlying Gerota’s best graft survival results, these benefits carry a unique fascia. The renal vein is dissected to display its adrenal price in that an otherwise healthy individual must be and gonadal tributaries, which are divided between exposed to all the risks of major surgery for the benefit metal clips. The renal artery is then gently dissected of another person. A traditional open nephrectomy, free to demonstrate its origin from the aorta. whether performed through an extraperitoneal loin The ureter is mobilized with a generous amount of approach or a transperitoneal anterior approach, meso-ureteric tissue down to the level of the pelvic leaves a formidable wound. There is no doubt that this inlet. The ureter is clipped and divided at this point is one of the main disincentives to potential live donors and then the remaining lateral, posterior and superior who may express concerns about wound pain, poor fascial attachments of the kidney are divided to leave cosmetic results and the need for a prolonged recovery the kidney attached only by its vascular pedicle. At period. The advent of laparoscopic live-donor nephrec- this stage a 5–6 cm kidney retrieval incision is made tomy has the potential to overcome many of these either in the midline below the umbilicus or transversely disincentives but there is a need to define the place of just above the pubis. A purse-string suture is placed in this new procedure before it becomes widely adopted. the peritoneum, which is then incised to allow the |
| Databáze: | OpenAIRE |
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