Minimally Invasive Renal Auto-Transplantation: The First Report
| Autor: | Per Pfeffer, Ole Øyen, Pål-Dag Line, B. Lien |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Adult
medicine.medical_specialty Anastomosis Nephrectomy Transplantation Autologous Renal scintigraphy Renal Artery Transplant surgery Living Donors medicine Humans Minimally Invasive Surgical Procedures Kidney transplantation Transplantation Kidney Skin incision business.industry Middle Aged medicine.disease Aneurysm Kidney Transplantation Surgery medicine.anatomical_structure Female Laparoscopy Pouch Tomography X-Ray Computed business Ureteral Obstruction |
| Zdroj: | Journal of Surgical Research. 164:e181-e184 |
| ISSN: | 0022-4804 |
| DOI: | 10.1016/j.jss.2010.06.014 |
| Popis: | Background Regarding transplant surgery, the minimally invasive revolution was started in 1995 by laparoscopic living donor nephrectomy (L-LDN). In 2006, we made the first report on a minimally invasive technique for kidney transplantation; restricted to a 7–9 cm transverse incision targeted on the anastomotic area of the iliac vessels, and with the meticulously prepared kidney placed in a fitting, retroperitoneal pouch lateral to the skin incision. Materials and Methods By combining “hand-assisted laparoscopic nephrectomy” and “minimally invasive kidney transplantation” — using the same incision (7–8 cm) for hand-assistance, kidney harvesting, and transplantation — we have during 2009 conducted “minimally invasive renal auto-transplantation” in two patients. Results In both cases, the postoperative course was uneventful. When examined 3 mo postoperatively, both auto-transplants were shown to have excellent function by renal scintigraphy. Conclusions Renal auto-transplantation, a traditionally major surgical procedure, can be made minimally invasive by a similar incision as that used for L-LDN. Taking into regard the highly traumatic conventional incisions, we expect the generally proven minimally invasive benefits to be considerable. |
| Databáze: | OpenAIRE |
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