| Autor: |
Bartosz Małkiewicz, Dorota Kamińska, Maximilian Kobylański, Małgorzata Łątkowska, Wojciech Handzlik, Paweł Dębiński, Wojciech Krajewski, Oktawia Mazanowska, Paweł Poznański, Mirosław Banasik, Dariusz Patrzałek, Dariusz Janczak, Magdalena Krajewska, Romuald Zdrojowy, Tomasz Szydełko |
| Jazyk: |
angličtina |
| Rok vydání: |
2022 |
| Předmět: |
|
| Zdroj: |
Uro, Vol 2, Iss 3, Pp 191-198 (2022) |
| Druh dokumentu: |
article |
| ISSN: |
2673-4397 |
| DOI: |
10.3390/uro2030023 |
| Popis: |
(1) Background: Donor nephrectomy for living donor kidney transplantation using minimally invasive techniques is a safe procedure that has been used for more than 20 years with excellent results. The total laparoscopic approach offers decreased postoperative pain, less incisional morbidity, and a shorter recovery time. (2) Methods: We present the results of a series of 43 laparoscopic donor nephrectomies performed in a single center. The procedures were performed in a systematic approach with transperitoneal access using four ports. The main renal artery and vein were ligated using a linear stapler fixed with an alternate triple row of titanium staples. The specimen was extracted in an endoscopic bag through an additional incision. (3) Results: All procedures were performed laparoscopically without conversion to open surgery. The average warm ischemia time was 4.73 min. In all recipients, immediate kidney allograft function was observed. (4) Conclusions: Total laparoscopic living donor nephrectomy is a safe procedure. It was performed successfully in all cases with a short surgical time, low morbidity, and 0% mortality. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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