Comparison of Open and Laparoscopic Live Donor Nephrectomy

Flowers, John L.; Jacobs, Stephen C.; Cho, Eugene; Morton, Andrew W.; Rosenberger, William F.; Evans, Deborah; Imbembo, Anthony L.; Bartlett, Stephen T.

doi:10.1097/00000658-199710000-00009

Cited by 436 publications

(290 citation statements)

References 11 publications

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“…In this work, the use of laparoscopic surgery to remove the lithiasis was preferred considering the better results in relation to the conventional surgery, mainly the ones related to the postoperative period (Monson et al, 1995;Flowers et al, 1997;Liem et al, 1997).…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic cystotomy for urolith removal in dogs: three case reports

Brun

Oliveira

Messina

et al. 2008

Arq. Bras. Med. Vet. Zootec.

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The use of laparoscopic surgery for the removal of cystic calculi in three dogs was reported. Three trocars were used, one in the ventral midline (10mm) and the others in the right (10mm) and left (5mm) flanks. The calculi were removed and the bladder was sutured with intracorporeal technique in two layers, a simple continuous pattern and interrupted or continuous Lembert pattern. No postoperative complications were observed. One patient had a recurrence of urolithiasis, attributed to inadequate conservative treatment and to the lack of an appropriate diet. It was submitted to another similar videolaparoscopic cystotomy without complication. The proposed technique is appropriate and an alternative to conventional cystotomy for treatment of canine vesical urolithiasis.Keywords: dog, laparoscopy, endosurgery, minimally invasive surgery, bladder Palavras-chave: cão, laparoscopia, endocirurgia, cirurgia minimamente invasiva, bexiga RESUMO Descreve-se a remoção de cálculos vesicais por cirurgia laparoscópica em três cães utilizando-se três portais (dois de 10mm e um de 5mm) dispostos na linha média ventral e nas paredes abdominais direita e esquerda. Após a remoção das litíases

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Section: Discussionmentioning

confidence: 99%

Laparoscopic cystotomy for urolith removal in dogs: three case reports

Brun

Oliveira

Messina

et al. 2008

Arq. Bras. Med. Vet. Zootec.

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“…The use of LDN may remove some of the disincentives of living donor transplantation, increasing the pool of kidneys available for transplantation with an increase of voluntary kidney donors (3). Some of the advantages of the LDN include less donor morbidity, lower hospital stay, and better convalescence, with similar short and long term outcomes when compared to open surgery (4)(5)(6)(7)(8).…”

Section: Introductionmentioning

confidence: 99%

Early outcomes of laparoscopic donor nephrectomy with multiple renal arteries

et al. 2012

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ARTIcLE INFO _________________________________________________________ ___________________Purpose: We evaluated our experience with laparoscopic donor nephrectomy in patients with multiple renal arteries, comparing operative outcomes and early graft function with patients with a single renal artery. Materials and Methods:From January 2003 to February 2009, 130 patients underwent laparoscopic donor nephrectomy at our institution, 108 (83%) with a single renal artery and 22 (17%) with multiple arteries. Donor and recipient outcomes for single artery and multiple arteries allografts were compared. Results: The LDN operative time was similar between the single artery and multiple arteries groups (162 vs 163 min, respectively, p = 0.87). Allografts with multiple arteries had significantly longer warm ischemia time (3.9 vs 4.9 min, p = 0.05) and cold ischemia time (72 vs 94 min, p < 0.001) than those with single artery. The conversion rate was similar between single and multiple arteries groups (6% vs 4.5%, respectively, p = 0.7). Multiple arteries grafts had a non statistically significant higher rate of poor graft function when compared to single artery grafts (23% vs 12%, respectively, p = 0.18). Five patients in the single artery group (4.6%) and one patient in the multiple arteries group (4.5%) needed dialysis during the first postoperative week. Overall, recipient complication rates were similar between single and multiple arteries groups (12.9% vs 18.1%, respectively, p = 0.51). Conclusion: Laparoscopic donor nephrectomy with multiple arteries was associated with a non statistically significant higher rate of poor early graft function. The procedure appears to be safe in patients with multiple arteries, with similar complications rates. Multiple arteries should not be a contraindication for laparoscopic donor nephrectomy.

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“…2 Some centres report a com-892 CANADIAN JOURNAL OF ANESTHESIA L parable morbidity and mortality of both approaches. 3 At the University of Washington Medical Center in Seattle, this case was the first in a series of 38 laparoscopic donor nephrectomies since 2000 which had to be converted to an open procedure. At this time, however, laparoscopic donor nephrectomy is a new and evolving technique, and it cannot be decided yet whether it is a viable alternative to the open live donor nephrectomy.…”

Section: Objectif : Présenter Le Cas D'une Néphrectomie Laparoscopiqumentioning

confidence: 99%

Unexpected surgical difficulties leading to hemorrhage and gas embolus during laparoscopic donor nephrectomy: a case report

Martay

Dembo

Vater

et al. 2003

Can J Anesth/J Can Anesth

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P Pu ur rp po os se e: : To report the case of a laparoscopic donor nephrectomy in which the preoperative evaluation of the patient gave no indication of the surgical difficulties that were encountered intraoperatively, resulting in substantial bleeding, a suspected gas embolism, and emergency conversion of the procedure from laparoscopic to open donor nephrectomy.C Cl li in ni ic ca al l f fe ea at tu ur re es s: : A 59-yr-old man -height: 175 cm, weight: 85.5 kg, American Society of Anesthesiologists physical status I -presented as kidney donor for laparoscopic donor nephrectomy. He was healthy, on no medication, and had no previous abdominal surgery or diseases of the urinary tract. The preoperative computed tomography (CT) scan evaluation of his kidneys confirmed this by reporting a normal bilateral renal and renal vascular anatomy. In contradiction to the preoperative CT scan findings, the surgeon discovered abnormalities in the operative field. This included extensive scarring surrounding the left kidney, adenopathy near the right hilum, and a large branch lumbar vein entering the renal vein. The large branch lumbar vein was clipped but the clips dislodged, causing significant blood loss, and a suspected gas embolus. The procedure was converted to an emergency open donor nephrectomy. Postoperatively the patient made a full recovery.

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Comparison of Open and Laparoscopic Live Donor Nephrectomy

Cited by 436 publications

References 11 publications

Laparoscopic cystotomy for urolith removal in dogs: three case reports

Laparoscopic cystotomy for urolith removal in dogs: three case reports

Early outcomes of laparoscopic donor nephrectomy with multiple renal arteries

Unexpected surgical difficulties leading to hemorrhage and gas embolus during laparoscopic donor nephrectomy: a case report

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