Maximizing the right renal vein length in laparoscopic live donor nephrectomy

Branco, Aníbal Wood; Filho, Alcides José Branco; Kondo, William; George, Marco Aurélio de; Carvalho, Ronaldo Moreno de; Maciel, Rafael Fábio

doi:10.1590/s1677-55382004000500013

Cited by 15 publications

(9 citation statements)

References 7 publications

(17 reference statements)

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“…Renal vessels are divided, thereby allowing the division of the renal vein with a cuff of the vena cava ( Figure-7) and maximizing the renal vein length. The cavotomy is sutured laparoscopically with 4-0 Prolene and afterwards the Satinsky clamp is released from the vena cava (15).…”

Section: Surgical Techniquementioning

confidence: 99%

Hand-assisted right laparoscopic live donor nephrectomy

Branco¹,

Filho²,

Kondo³

et al. 2005

Int. braz j urol.

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Section: Surgical Techniquementioning

confidence: 99%

Hand-assisted right laparoscopic live donor nephrectomy

Branco¹,

Filho²,

Kondo³

et al. 2005

Int. braz j urol.

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“…Several methods have been proposed to maximize or add length to the right renal vein for easier anastomosis 5,7,8,13–15 . One proposed solution is optimizing the length of the right renal vein during procurement.…”

Section: Discussionmentioning

confidence: 99%

“…A disadvantage noted for this method is the loss of a small amount of vein due to the rows of staples sealing the renal and vena caval sides of the vein. Alternatively, Branco et al 13 . described a hand‐assisted laparoscopic nephrectomy, allowing a Satinsky clamp to be used to excise a cuff of inferior vena cava prior to laparoscopically suturing the venotomy.…”

Section: Discussionmentioning

confidence: 99%

Deceased donor vein extension grafts for right living donor kidney transplantation

Meinders

Knight

Eagar

et al. 2023

Clinical Transplantation

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IntroductionIn an effort to maximize living donor kidney utilization, we describe the use of deceased donor vein extension grafts for right‐sided living donor kidneys and report our single‐center experience using this technique.MethodsA retrospective review of kidney transplant recipients (KTR) who received a right living donor kidney with deceased donor vein extension graft. Recipient demographics, postoperative graft function, and surgical complications were reviewed. Living donor nephrectomies were performed laparoscopically. Vein grafts were obtained from recent deceased donor procurements. End‐to‐end anastomosis of the graft to the renal vein was performed prior to implantation.ResultsThirty‐eight KTR received a right kidney transplant with deceased donor extension grafts. The median recipient age and BMI were 53.0 years and 29.3 kg/m2. Total 71% were male. Ninety‐five percent of grafts displayed immediate graft function, with two recipients requiring temporary dialysis due to anaphylaxis from induction therapy. Median serum creatinine at two weeks was 1.6 mg/dL and at three months was 1.5 mg/dL. There were no graft thromboses.ConclusionUtilization of deceased donor extension grafts for short right renal veins is a simple technique that expands the donor pool for living donor renal transplantation. Our experience resulted in no technical complications and excellent early graft function.

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“…When necessary, maximization of the length of the right renal vein 9 ( Figures 3 and 4 ) or artery 8 ( Figure 5 ) was performed.…”

Section: Methodsmentioning

confidence: 99%

A Comparison of Hand-Assisted and Pure Laparoscopic Techniques in Live Donor Nephrectomy

Branco

Kondo

Filho

et al. 2008

Clinics

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Branco AW, Kondo W, Filho AJB, George MA, Rangel M, Stunitz LC. A comparison of hand-assisted and pure laparoscopic techniques in live donor nephrectomy. Clinics. 2008;63:795-800. PURPOSE:To compare hand-assisted laparoscopic donor nephrectomy and pure laparoscopic live donor nephrectomy techniques in live donor nephrectomy. METHODS:In this retrospective study, we included all patients submitted to hand-assisted laparoscopic donor nephrectomy and pure laparoscopic live donor nephrectomy between May 2002 and December 2007. The operative data and post-operative courses were reviewed. Information was collected on the operative time, warm ischemia time, estimated blood loss, intra-operative complications, time to first oral intake, length of hospital stay, and post-operative complications. The data were analyzed using Student's t -tests and Fisher exact tests as appropriate, with statistical significance defined as p < 0.05. RESULTS:The means of the operative duration, warm ischemia time and intra-operative bleeding were 83 min, 3.6 min and 130.9 cc, respectively, for hand-assisted laparoscopic donor nephrectomy, and 78.4 min, 2.5 min and 98.9 cc, respectively, for pure laparoscopic live donor nephrectomy (p=0.29, p<0.0001 and p=0.08, respectively). Intra-operative complications occurred in 6% of patients submitted to hand-assisted laparoscopic donor nephrectomy and in 4.5% of those submitted to pure laparoscopic live donor nephrectomy (p=0.68). Only one patient from each group required conversion to open surgery; one person receiving handassisted laparoscopic donor nephrectomy had bleeding and one person receiving pure laparoscopic live donor nephrectomy had low carbon dioxide levels during the warm ischemia period. Compared with patients receiving hand-assisted laparoscopic donor nephrectomy, patients submitted to pure laparoscopic live donor nephrectomy were able to take their first meal earlier (12.5 vs. 9.2 hours, p=0.046), were discharged home sooner (2.8 vs. 1.4 days, p<0.0001) and had fewer post-operative complications (7.5% vs. 0.6%, p=0.04). CONCLUSIONS: Pure laparoscopic live donor nephrectomy had some advantages over hand-assisted laparoscopic donor nephrectomy in terms of the warm ischemia time, time to first oral intake, length of hospital stay, and post-operative donor complications.

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Maximizing the right renal vein length in laparoscopic live donor nephrectomy

Cited by 15 publications

References 7 publications

Hand-assisted right laparoscopic live donor nephrectomy

Hand-assisted right laparoscopic live donor nephrectomy

Deceased donor vein extension grafts for right living donor kidney transplantation

A Comparison of Hand-Assisted and Pure Laparoscopic Techniques in Live Donor Nephrectomy

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