Minimally invasive donor nephrectomy: current state of the art
| Autor: | Michael W. Phelan, Samuel Sultan, Nicole Shockcor, John C. LaMattina, Rolf N. Barth, Philip S. Brazio, Josue Alvarez-Casas |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment 030232 urology & nephrology 030230 surgery Natural orifice Nephrectomy Risk Assessment 03 medical and health sciences 0302 clinical medicine Living Donors medicine MULTIPLE VARIATIONS Humans Minimally Invasive Surgical Procedures Open donor nephrectomy Mini open Pain Postoperative Wound Healing Surgical approach business.industry Robotics Middle Aged Vascular surgery Kidney Transplantation Surgery Treatment Outcome Laparoscopy Patient Safety Live donor nephrectomy business |
| Zdroj: | Langenbeck's Archives of Surgery. 403:681-691 |
| ISSN: | 1435-2451 1435-2443 |
| DOI: | 10.1007/s00423-018-1700-3 |
| Popis: | The concept of a minimally invasive live donor nephrectomy developed over 20 years ago. Surgeons gained expertise with the laparoscopic technique and utilized multiple variations that are now utilized in transplant centers throughout the world. Recent modifications include laparoendoscopic single-site and robotic approaches that have been adopted by an additional smaller set of programs. Review was performed of the following eight different surgical approaches to a “minimally invasive” live donor nephrectomy: laparoscopic (LDN), hand-assisted laparoscopic (HALDN), retroperitoneoscopic (RLDN), hand-assisted retroperitoneoscopic (HARS), single-port laparoscopic (LESS), robotic-assisted laparoscopic (RALDN), mini open, and natural orifice transluminal endoscopic (NOTES). The techniques are described and summaries of available outcomes and complications are presented. Traditional surgical techniques of open donor nephrectomy have transitioned to minimally invasive techniques. With adoption of these techniques as the preferred approach, several variations have and continue to evolve. The current minimally invasive donor nephrectomy techniques share low complication rates and excellent outcomes. |
| Databáze: | OpenAIRE |
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