Is There a New Alternative for a Safer Kidney Artery Ligation in Laparoscopic Donor Nephrectomy?
| Autor: | Cristina Quicios, Juan Vicente García, Gonzalo Bueno, Ramiro Cabello, Carmen G. Gonzalez |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Blood Loss Surgical 030230 surgery Renal hilum Nephrectomy 03 medical and health sciences 0302 clinical medicine Postoperative Complications Renal Artery medicine.artery Living Donors Medicine Humans Renal artery CLIPS Laparoscopy Ligation Kidney transplantation computer.programming_language Kidney medicine.diagnostic_test business.industry General surgery medicine.disease Surgical Instruments Kidney Transplantation Surgery surgical procedures operative medicine.anatomical_structure 030220 oncology & carcinogenesis Tissue and Organ Harvesting business computer |
| Zdroj: | Journal of laparoendoscopicadvanced surgical techniques. Part A. 27(7) |
| ISSN: | 1557-9034 |
| Popis: | Controlled ligation and division of the renal hilum are critical steps during laparoscopic living donor nephrectomy. Major hemorrhage from technical failure, although an infrequent occurrence, can cause significant, yet preventable, morbidity or death. Polymer-secured nontransfixion clips are used worldwide for renal pedicle control during laparoscopic nephrectomy, but their use is contraindicated for renal artery ligation during laparoscopic living donor nephrectomy. Laparoscopic staplers are reliable transfixion systems for controlling kidney pedicle. However, stapler malfunction is not negligible, reaching up to 1.7%. A new double shank (DS) titanium-secured nontransfixion clip can dodge legal concerns on polymer-secured clips, while maintaining most of their advantages, without technical failures that may be seen in laparoscopic staplers. New alternatives must be proposed and explored to reach an agreement of the urological community. The new DS-titanium-secured clips could be a step forward toward a safer surgery for kidney donors, at least equivalent to hand ties to occlude the renal artery. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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