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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

Line drawing of umbilical skin incision. Actual length of incision is double of visible length after stretching of umbilical fold.
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Figure 4: Line drawing of umbilical skin incision. Actual length of incision is double of visible length after stretching of umbilical fold.

Mentions: Despite these benefits, there remain some doubts regarding the application of SPLDN for graft harvesting. Many surgeons are concerned about the difficulty of graft retrieval and graft quality. Transumbilical graft retrieval is not difficult, because when the OCTO port is removed, only a 2-cm umbilical incision is needed; the rectus fasciotomy is then extended beneath the skin cranially and caudally, and the umbilical skin incision is extended to approximately 4 cm (Fig. 4). The pre-bagged specimen can then be gently extracted because of the hidden available 2 cm [9].


Transumbilical pure single-port laparoscopic donor nephrectomy.

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

Line drawing of umbilical skin incision. Actual length of incision is double of visible length after stretching of umbilical fold.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 4: Line drawing of umbilical skin incision. Actual length of incision is double of visible length after stretching of umbilical fold.
Mentions: Despite these benefits, there remain some doubts regarding the application of SPLDN for graft harvesting. Many surgeons are concerned about the difficulty of graft retrieval and graft quality. Transumbilical graft retrieval is not difficult, because when the OCTO port is removed, only a 2-cm umbilical incision is needed; the rectus fasciotomy is then extended beneath the skin cranially and caudally, and the umbilical skin incision is extended to approximately 4 cm (Fig. 4). The pre-bagged specimen can then be gently extracted because of the hidden available 2 cm [9].

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