Hand-assisted right laparoscopic nephrectomy in living donor
| Autor: | Luiz Sergio Santos, Andre E. Varaschin, Andressa H. Patriani, Fernando Meyer, Bruno F. Pimpao |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Urology medicine.medical_treatment laparoscopy graft survival kidney transplantation Diuresis lcsh:RC870-923 chemistry.chemical_compound Lymphocele living donors nephrectomy Humans Medicine Retrospective Studies Creatinine Kidney Intraoperative Care Warm Ischemia Time business.industry Renal vein thrombosis Reproducibility of Results Laparoscopic nephrectomy Length of Stay Middle Aged lcsh:Diseases of the genitourinary system. Urology medicine.disease Nephrectomy Surgery medicine.anatomical_structure chemistry Anesthesia Female business |
| Zdroj: | International braz j urol v.31 n.1 2005 International Braz J Urol Sociedade Brasileira de Urologia (SBU) instacron:SBU International braz j urol, Volume: 31, Issue: 1, Pages: 17-21, Published: FEB 2005 International Brazilian Journal of Urology, Vol 31, Iss 1, Pp 17-21 (2005) |
| ISSN: | 1677-5538 |
| DOI: | 10.1590/s1677-55382005000100004 |
| Popis: | OBJECTIVE: To assess results obtained with the authors' technique of right hand-assisted laparoscopic nephrectomy in living kidney donors. MATERIALS AND METHODS: We retrospectively analyzed 16 kidney donors who underwent hand-assisted right laparoscopic nephrectomy from February 2001 to July 2004. Among these patients, 7 were male and 9 were female, with mean age ranging between 22 and 58 years (mean 35.75). RESULTS: Surgical time ranged from 55 to 210 minutes (mean 127.81 min) and warm ischemia time from 2 to 6 minutes (mean 3.78 min) with mean intra-operative blood loss estimated at 90.62 mL. There was no need for conversion in any case. Discharge from hospital occurred between the 3rd and 6th days (mean 3.81). On the graft assessment, immediate diuresis was seen in 15 cases (93.75%) and serum creatinine on the 7th post-operative day was 1.60 mg/dL on average. Renal vein thrombosis occurred in 1 patient (6.25%) who required graft removal, and lymphocele was seen in 1 recipient (6.25%). CONCLUSION: Hand-assisted right laparoscopic nephrectomy in living donors is a safe and effective alternative to open nephrectomy. Despite a greater technical difficulty, the procedure presented low postoperative morbidity providing good morphological and functional quality of the graft on the recipient. |
| Databáze: | OpenAIRE |
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