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Hand-Assisted Laparoscopic Right Donor Nephrectomy: Safety and Feasibility

PURPOSE: We aimed to prove the safety and feasibility of right-sided hand-assisted laparoscopic donor nephrectomy (HALDN). MATERIALS AND METHODS: Between May 2006 and May 2009, 16 patients underwent right-sided HALDN at our institution. Of these patients, 15 showed significantly lower renal function...

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Autores principales: Chung, Moon-Soo, Kim, Su Jin, Cho, Hyuk Jin, Ha, U-Syn, Hong, Sung-Hoo, Lee, Ji Youl, Kim, Joon Chul, Kim, Sae Woong, Hwang, Tae Kon
Formato: Texto
Lenguaje:English
Publicado: The Korean Urological Association 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2855464/
https://www.ncbi.nlm.nih.gov/pubmed/20414408
http://dx.doi.org/10.4111/kju.2010.51.1.34
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author Chung, Moon-Soo
Kim, Su Jin
Cho, Hyuk Jin
Ha, U-Syn
Hong, Sung-Hoo
Lee, Ji Youl
Kim, Joon Chul
Kim, Sae Woong
Hwang, Tae Kon
author_facet Chung, Moon-Soo
Kim, Su Jin
Cho, Hyuk Jin
Ha, U-Syn
Hong, Sung-Hoo
Lee, Ji Youl
Kim, Joon Chul
Kim, Sae Woong
Hwang, Tae Kon
author_sort Chung, Moon-Soo
collection PubMed
description PURPOSE: We aimed to prove the safety and feasibility of right-sided hand-assisted laparoscopic donor nephrectomy (HALDN). MATERIALS AND METHODS: Between May 2006 and May 2009, 16 patients underwent right-sided HALDN at our institution. Of these patients, 15 showed significantly lower renal function in the right kidney than in the left one and 1 had a stone in the right kidney. When the right renal vein was divided, an EndoGIA stapling device was placed on the wall of the inferior vena cava to gain a maximal length of the vein. We evaluated intraoperative and postoperative parameters such as operative time, delivery time, warm ischemic time, estimated blood loss, intraoperative and postoperative complication rates, length of hospital stay, and serum creatinine levels of donors (at the time of discharge) and recipients (4 weeks postoperatively), comparing the right-sided HALDN group (our study) with a left-sided HALDN group (from a previously reported study). RESULTS: A total of 16 right-sided HALDNs were successfully performed without any complications or open conversion. All of the intraoperative and postoperative parameters were similar between the right-sided HALDN and left-sided HALDN groups. There were no technical problems in the recipients in the anastomosis of the renal vein, and the ureteral anastomoses were also successful. CONCLUSIONS: Right-sided HALDN is safe and technically feasible in a donor, showing favorable graft outcomes. The results of our study suggest that right-sided HALDN may be preferable in patients with significantly lower renal function in the right kidney than in the left one.
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spelling pubmed-28554642010-04-22 Hand-Assisted Laparoscopic Right Donor Nephrectomy: Safety and Feasibility Chung, Moon-Soo Kim, Su Jin Cho, Hyuk Jin Ha, U-Syn Hong, Sung-Hoo Lee, Ji Youl Kim, Joon Chul Kim, Sae Woong Hwang, Tae Kon Korean J Urol Original Article PURPOSE: We aimed to prove the safety and feasibility of right-sided hand-assisted laparoscopic donor nephrectomy (HALDN). MATERIALS AND METHODS: Between May 2006 and May 2009, 16 patients underwent right-sided HALDN at our institution. Of these patients, 15 showed significantly lower renal function in the right kidney than in the left one and 1 had a stone in the right kidney. When the right renal vein was divided, an EndoGIA stapling device was placed on the wall of the inferior vena cava to gain a maximal length of the vein. We evaluated intraoperative and postoperative parameters such as operative time, delivery time, warm ischemic time, estimated blood loss, intraoperative and postoperative complication rates, length of hospital stay, and serum creatinine levels of donors (at the time of discharge) and recipients (4 weeks postoperatively), comparing the right-sided HALDN group (our study) with a left-sided HALDN group (from a previously reported study). RESULTS: A total of 16 right-sided HALDNs were successfully performed without any complications or open conversion. All of the intraoperative and postoperative parameters were similar between the right-sided HALDN and left-sided HALDN groups. There were no technical problems in the recipients in the anastomosis of the renal vein, and the ureteral anastomoses were also successful. CONCLUSIONS: Right-sided HALDN is safe and technically feasible in a donor, showing favorable graft outcomes. The results of our study suggest that right-sided HALDN may be preferable in patients with significantly lower renal function in the right kidney than in the left one. The Korean Urological Association 2010-01 2010-01-21 /pmc/articles/PMC2855464/ /pubmed/20414408 http://dx.doi.org/10.4111/kju.2010.51.1.34 Text en Copyright © The Korean Urological Association, 2010 http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Chung, Moon-Soo
Kim, Su Jin
Cho, Hyuk Jin
Ha, U-Syn
Hong, Sung-Hoo
Lee, Ji Youl
Kim, Joon Chul
Kim, Sae Woong
Hwang, Tae Kon
Hand-Assisted Laparoscopic Right Donor Nephrectomy: Safety and Feasibility
title Hand-Assisted Laparoscopic Right Donor Nephrectomy: Safety and Feasibility
title_full Hand-Assisted Laparoscopic Right Donor Nephrectomy: Safety and Feasibility
title_fullStr Hand-Assisted Laparoscopic Right Donor Nephrectomy: Safety and Feasibility
title_full_unstemmed Hand-Assisted Laparoscopic Right Donor Nephrectomy: Safety and Feasibility
title_short Hand-Assisted Laparoscopic Right Donor Nephrectomy: Safety and Feasibility
title_sort hand-assisted laparoscopic right donor nephrectomy: safety and feasibility
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2855464/
https://www.ncbi.nlm.nih.gov/pubmed/20414408
http://dx.doi.org/10.4111/kju.2010.51.1.34
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