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Technical modifications of laparoscopic donor nephrectomy: Improved results with refinements in technique that mimic open nephrectomy

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dc.contributor.author Khauli R.B.
dc.contributor.author El-Hout Y.
dc.contributor.author Hussein M.
dc.contributor.editor
dc.date Mar-2005
dc.date.accessioned 2017-10-05T16:07:51Z
dc.date.available 2017-10-05T16:07:51Z
dc.date.issued 2005
dc.identifier 10.1016/j.transproceed.2004.11.035
dc.identifier.isbn
dc.identifier.issn 00411345
dc.identifier.uri http://hdl.handle.net/10938/20091
dc.description.abstract Introduction. We have performed laparoscopic donor nephrectomy (lap Nx) since 2000. In June 2002, we modified the technique to minimize the known disadvantages of ATN and delayed graft function. We review our series of lap Nx before and after introduction of these modifications, respectively. Methods. Four technical modifications of lap Nx were introduced following the initial previously described 28 cases (Group I) and applied to the consecutive 42 cases described herein (Group II): (1) decreasing the intra-abdominal pressure from 15 mm Hg to 8 mm Hg; (2) early dissection of the ureter and gonadal vein followed by vascular dissection (sharp and blunt using hydrodissection); (3) leaving the left gonadal vein in continuity with the left renal vein; and (4) early introduction of the Endocatch bag. Results. Operative time was 276.6 ± 67.1 min vs 210.0 ± 38.0 min for groups I and II, respectively (P =. 04). Warm ischemia was 4.9 ± 1.9 min vs 1.5 ± 0.9, min for groups I and II, respectively (P . 01). ATN occurred in 3-28 (10.7percent) in group I vs 2-42 (4.8percent) in-group II. There was one-vascular insult in the initial 5 Rt lap Nx, namely, transection of a segmental artery, that was reconstructed by bench repair without an impact on the outcome. Conversion was needed in 3-28 (10.7percent) group I, but none of group II donors. Conclusion. The outcome of lap Nx can be significantly improved by applying technical modifications that simulate open Nx. © 2005 by Elsevier Inc. All rights reserved.
dc.format.extent
dc.format.extent Pages: (635-636)
dc.language English
dc.publisher NEW YORK
dc.relation.ispartof Publication Name: Transplantation Proceedings; Publication Year: 2005; Volume: 37; no. 2; Pages: (635-636);
dc.relation.ispartofseries
dc.relation.uri
dc.source Scopus
dc.subject.other
dc.title Technical modifications of laparoscopic donor nephrectomy: Improved results with refinements in technique that mimic open nephrectomy
dc.type Conference Paper
dc.contributor.affiliation Khauli, R.B., Division of Urology, Renal Transplantation Unit, Amer. Univ. of Beirut-Medical Center, Beirut, Lebanon
dc.contributor.affiliation El-Hout, Y., Division of Urology, Renal Transplantation Unit, Amer. Univ. of Beirut-Medical Center, Beirut, Lebanon
dc.contributor.affiliation Hussein, M., Division of Urology, Renal Transplantation Unit, Amer. Univ. of Beirut-Medical Center, Beirut, Lebanon
dc.contributor.authorAddress Khauli, R.B.; Division of Urology, Renal Transplantation Unit, Amer. Univ. of Beirut-Medical Center, Beirut, Lebanon; email: rkhauli@aub.edu.lb
dc.contributor.authorCorporate University: American University of Beirut Medical Center; Faculty: Faculty of Medicine; Department: Surgery; Division: Urology;
dc.contributor.authorDepartment Surgery
dc.contributor.authorDivision Urology
dc.contributor.authorEmail rkhauli@aub.edu.lb
dc.contributor.authorFaculty Faculty of Medicine
dc.contributor.authorInitials Khauli, RB
dc.contributor.authorInitials El-Hout, Y
dc.contributor.authorInitials Hussein, M
dc.contributor.authorOrcidID
dc.contributor.authorReprintAddress Khauli, RB (reprint author), Amer Univ Beirut, Med Ctr, Div Urol, Beirut, Lebanon.
dc.contributor.authorResearcherID
dc.contributor.authorUniversity American University of Beirut Medical Center
dc.description.cited Khauli RB, 2003, TRANSPLANT P, V35, P2551, DOI 10.1016-j.transproceed.2003.08.040
dc.description.citedCount 3
dc.description.citedTotWOSCount 1
dc.description.citedWOSCount 1
dc.format.extentCount 2
dc.identifier.articleNo
dc.identifier.coden TRPPA
dc.identifier.pubmedID 15848483
dc.identifier.scopusID 17844362720
dc.identifier.url
dc.publisher.address 360 PARK AVE SOUTH, NEW YORK, NY 10010-1710 USA
dc.relation.ispartofConference
dc.relation.ispartofConferenceCode
dc.relation.ispartofConferenceDate
dc.relation.ispartofConferenceHosting
dc.relation.ispartofConferenceLoc
dc.relation.ispartofConferenceSponsor
dc.relation.ispartofConferenceTitle
dc.relation.ispartofFundingAgency
dc.relation.ispartOfISOAbbr Transplant. Proc.
dc.relation.ispartOfIssue 2
dc.relation.ispartOfPart
dc.relation.ispartofPubTitle Transplantation Proceedings
dc.relation.ispartofPubTitleAbbr Transplant. Proc.
dc.relation.ispartOfSpecialIssue
dc.relation.ispartOfSuppl
dc.relation.ispartOfVolume 37
dc.source.ID WOS:000228568900035
dc.type.publication Journal
dc.subject.otherAuthKeyword
dc.subject.otherChemCAS
dc.subject.otherIndex abdominal pressure
dc.subject.otherIndex conference paper
dc.subject.otherIndex controlled study
dc.subject.otherIndex dissection
dc.subject.otherIndex gonad
dc.subject.otherIndex human
dc.subject.otherIndex ischemia
dc.subject.otherIndex kidney function
dc.subject.otherIndex kidney vein
dc.subject.otherIndex laparoscopic surgery
dc.subject.otherIndex nephrectomy
dc.subject.otherIndex operation duration
dc.subject.otherIndex outcomes research
dc.subject.otherIndex priority journal
dc.subject.otherIndex surgical technique
dc.subject.otherIndex ureter
dc.subject.otherIndex vascular surgery
dc.subject.otherIndex vein
dc.subject.otherIndex Abdomen
dc.subject.otherIndex Female
dc.subject.otherIndex Humans
dc.subject.otherIndex Kidney Transplantation
dc.subject.otherIndex Laparoscopy
dc.subject.otherIndex Living Donors
dc.subject.otherIndex Male
dc.subject.otherIndex Nephrectomy
dc.subject.otherIndex Retrospective Studies
dc.subject.otherIndex Tissue and Organ Harvesting
dc.subject.otherIndex Treatment Outcome
dc.subject.otherIndex Ureter
dc.subject.otherKeywordPlus
dc.subject.otherWOS Immunology
dc.subject.otherWOS Surgery
dc.subject.otherWOS Transplantation


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