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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) Cutting of renal vessels. (B) Draining of blood from graft.
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Figure 3: Laparoscopic view. (A) Cutting of renal vessels. (B) Draining of blood from graft.

Mentions: Once vascular skeletonization of the kidney and optimal dissection are accomplished, a Lap-bag (Endo-catch bag) is placed in the abdomen, and the kidney, excluding the renal vessels, is placed in the Lap-bag; the renal vessels are finally cut. If the Lap-bag is removed as soon as the renal artery is cut, the warm ischemic time can be reduced. As mentioned, we used Endo-TA for handling the renal vessels; we placed double-line stapling on the non-graft-side renal vessels, but we freely cut the graft-side vessels, without using staples, endoclips, or Hemolock. This allowed blood to drain from the graft, causing graft size and volume to be considerably reduced (Fig. 3). Another advantage of this procedure is that an additional 3- to 5-mm margin of the renal vein became available. Overall, graft size was reduced and the kidney could easily be removed with this technique.


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) Cutting of renal vessels. (B) Draining of blood from graft.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 3: Laparoscopic view. (A) Cutting of renal vessels. (B) Draining of blood from graft.
Mentions: Once vascular skeletonization of the kidney and optimal dissection are accomplished, a Lap-bag (Endo-catch bag) is placed in the abdomen, and the kidney, excluding the renal vessels, is placed in the Lap-bag; the renal vessels are finally cut. If the Lap-bag is removed as soon as the renal artery is cut, the warm ischemic time can be reduced. As mentioned, we used Endo-TA for handling the renal vessels; we placed double-line stapling on the non-graft-side renal vessels, but we freely cut the graft-side vessels, without using staples, endoclips, or Hemolock. This allowed blood to drain from the graft, causing graft size and volume to be considerably reduced (Fig. 3). Another advantage of this procedure is that an additional 3- to 5-mm margin of the renal vein became available. Overall, graft size was reduced and the kidney could easily be removed with this technique.

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