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Transumbilical pure single-port laparoscopic donor nephrectomy.

Kim JM, Jeong WJ, Choi BJ, Yuk SM, Hwang JK, Lee SC - Ann Surg Treat Res (2015)

Bottom Line: No intra- or postoperative complications were noted.In case 1, the wound length was 4 cm and duration of hospitalization was 2 days.In case 2, the wound length was only 2.5 cm, and the duration of hospitalization was only 1 day.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Daejeon St. Mary's Hospital, The Catholic University of Korea College of Medicine, Daejeon, Korea.

ABSTRACT
Transumbilical single-port laparoscopic donor nephrectomy (SPLDN) is a novel, rapidly evolving, minimally invasive treatment modality for kidney transplantation. This method causes minimal parietal injury, has cosmetic advantages, and allows rapid recovery because of low postoperative pain and short hospital stay. Like other abdominal surgeries, when conducted by experienced laparoscopic surgeons, it can meet the same graft requirements as conventional laparoscopic surgery. Here, we report the first two cases of transumbilical SPLDN at Daejeon St. Mary's Hospital, The Catholic University of Korea. We used the umbilicus as a common path for laparoscopic procedures and as a route for specimen retrieval. The operating times were 230 and 265 minutes in cases 1 and 2, respectively. No intra- or postoperative complications were noted. In case 1, the wound length was 4 cm and duration of hospitalization was 2 days. In case 2, the wound length was only 2.5 cm, and the duration of hospitalization was only 1 day.

No MeSH data available.


Related in: MedlinePlus

Laparoscopic view. (A) Dissection and ligation of gonadal vein. (B) Dissection and ligation of adrenal vein. (C) Dissection and ligation of ureter. (D) Kidney mobilization.
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Figure 1: Laparoscopic view. (A) Dissection and ligation of gonadal vein. (B) Dissection and ligation of adrenal vein. (C) Dissection and ligation of ureter. (D) Kidney mobilization.

Mentions: The patient under general anesthesia was placed in the right semilateral position by inserting and fixing a cushion at the left lower bedside and tilting the bed to the left. The patient was thus in the supine position when the operation was initiated. This was changed to the right-side decubitus position, that is, the supine position with the right arm adducted, when the port was installed and the bed was tilted to the right in order to obtain a surgical view of the intra-abdominal cavity. A 3.0- to 3.5-cm vertical umbilical incision was made and the patient's position was changed to the head-down position with the right side tilted down, and a commercial single port (OCTO port, Dalim, Seoul, Korea) was introduced into the peritoneum. The peritoneum was inspected with a 10-mm (30 degree) rigid laparoscope after carbon dioxide gas insufflation. A small piece of gauze with a radio-opaque marker was inserted into the abdominal cavity to serve as a protective barrier from thermal injury, a dam to prevent soiling from outside the operative field, and a brace or retractor to allow for better operative vision; It is particularly useful for atraumatic manipulation of the kidney. The other general procedures and sequences were the same as those used in conventional laparoscopic donor nephrectomy, as briefly described below (Fig. 1).


Transumbilical pure single-port laparoscopic donor nephrectomy.

Kim JM, Jeong WJ, Choi BJ, Yuk SM, Hwang JK, Lee SC - Ann Surg Treat Res (2015)

Laparoscopic view. (A) Dissection and ligation of gonadal vein. (B) Dissection and ligation of adrenal vein. (C) Dissection and ligation of ureter. (D) Kidney mobilization.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4644910&req=5

Figure 1: Laparoscopic view. (A) Dissection and ligation of gonadal vein. (B) Dissection and ligation of adrenal vein. (C) Dissection and ligation of ureter. (D) Kidney mobilization.
Mentions: The patient under general anesthesia was placed in the right semilateral position by inserting and fixing a cushion at the left lower bedside and tilting the bed to the left. The patient was thus in the supine position when the operation was initiated. This was changed to the right-side decubitus position, that is, the supine position with the right arm adducted, when the port was installed and the bed was tilted to the right in order to obtain a surgical view of the intra-abdominal cavity. A 3.0- to 3.5-cm vertical umbilical incision was made and the patient's position was changed to the head-down position with the right side tilted down, and a commercial single port (OCTO port, Dalim, Seoul, Korea) was introduced into the peritoneum. The peritoneum was inspected with a 10-mm (30 degree) rigid laparoscope after carbon dioxide gas insufflation. A small piece of gauze with a radio-opaque marker was inserted into the abdominal cavity to serve as a protective barrier from thermal injury, a dam to prevent soiling from outside the operative field, and a brace or retractor to allow for better operative vision; It is particularly useful for atraumatic manipulation of the kidney. The other general procedures and sequences were the same as those used in conventional laparoscopic donor nephrectomy, as briefly described below (Fig. 1).

Bottom Line: No intra- or postoperative complications were noted.In case 1, the wound length was 4 cm and duration of hospitalization was 2 days.In case 2, the wound length was only 2.5 cm, and the duration of hospitalization was only 1 day.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Daejeon St. Mary's Hospital, The Catholic University of Korea College of Medicine, Daejeon, Korea.

ABSTRACT
Transumbilical single-port laparoscopic donor nephrectomy (SPLDN) is a novel, rapidly evolving, minimally invasive treatment modality for kidney transplantation. This method causes minimal parietal injury, has cosmetic advantages, and allows rapid recovery because of low postoperative pain and short hospital stay. Like other abdominal surgeries, when conducted by experienced laparoscopic surgeons, it can meet the same graft requirements as conventional laparoscopic surgery. Here, we report the first two cases of transumbilical SPLDN at Daejeon St. Mary's Hospital, The Catholic University of Korea. We used the umbilicus as a common path for laparoscopic procedures and as a route for specimen retrieval. The operating times were 230 and 265 minutes in cases 1 and 2, respectively. No intra- or postoperative complications were noted. In case 1, the wound length was 4 cm and duration of hospitalization was 2 days. In case 2, the wound length was only 2.5 cm, and the duration of hospitalization was only 1 day.

No MeSH data available.


Related in: MedlinePlus