Laparoscopic Kidney Transplantation: An Initial Experience

Modi, Pranjal; Rizvi, Jamal; Pal, Bipin Chandra; Bharadwaj, Reena; Trivedi, Premal M.; Trivedi, Amit; Patel, Keval; Vyas, Jigish; Sharma, S.; Shah, Kanisha; Chauhan, Rohit; Trivedi, Hargovind L

doi:10.1111/j.1600-6143.2011.03512.x

Cited by 52 publications

(31 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…To date, there have been a few reports on laparoscopic 6,7 or robotic-assisted 8-11 kidney transplant. However, intraoperative renal hypothermia is an important hindrance to laparoscopic kidney transplant.…”

Section: Discussionmentioning

confidence: 99%

“…With no available ideal cooling technique, some laparoscopic or roboticassisted kidney transplants have been experimentally or clinically performed under warm ischemia conditions without additional renal graftcooling procedures by some professors who anticipate that this issue will be extensively debated, and who expects it to provide new impetus to research. 4,7,9,10 In the series by Meraney, intracorporeal hypothermia was achieved by intra-arterial perfusion of ice-cold solution through a 4-F balloon catheter, 3 but the possible risks of vascular injury and issues of technical complexity were its drawbacks. Rosales and associates reported that renal hypothermia was maintained by means of ice and continuous transcutaneous irrigation with cold saline solution in their laparoscopic kidney transplant.…”

Section: Discussionmentioning

confidence: 99%

“…A few experimental [3][4][5] and clinical laparoscopic 6,7 or robot-assisted renal transplants have been performed in recent years. [8][9][10][11] The hindrance in laparoscopic kidney transplant is not only that of technical demand, but also of intraoperative renal hypothermia, which has not yet been solved.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Comparison of 2 Devices in Pigs To Induce Hypothermia in Laparoscopic Orthotopic Kidney Transplant

Han

Bao²,

Yan³

et al. 2012

Exp Clin Transplant

View full text Add to dashboard Cite

Objectives: To laparoscopically compare the effectiveness of 2 cooling devices for renal hypothermia and investigate the feasibility of laparoscopic orthotopic kidney transplant using a pig model. Materials and Methods: Eight pigs were divided into 2 groups of 4 animals each. Laparoscopic nephrectomy and autotransplant were performed first on only the right kidney. One week later, these procedures were performed on the left kidney, while the first transplanted autograft was removed. After 1 more week, the left autograft was removed for observation. In 1 group, the silicon tube cage was used to induce hypothermia during laparoscopic orthotopic kidney transplant (silicon tube cage group), and in the other group, the plastic bag jacket was used to induce hypothermia during laparoscopic orthotopic kidney transplant (plastic bag jacket group). Results: Two pigs in the silicon tube cage group survived for 7 days after the second autotransplant with serum creatinine levels of 210 µmol/L and 1010 µmol/L. One pig in the plastic bag jacket group survived for 5 days. The mean surface temperature of the grafts was maintained at 9°C ± 3°C and 12°C ± 3°C in the silicon tube cage and plastic bag jacket groups (P = .166). Three of 6 plastic bag jacket devices were ruptured by stitches or instruments. The mean venous and arterial anastomotic times in the silicon tube cage group were significantly shorter than were those in the plastic bag jacket group. Conclusions: Our study shows that the silicon tube cage may be a reliable renal cooling device for use in laparoscopic kidney transplant and indicates the feasibility of laparoscopic orthotopic kidney transplant in pigs.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Comparison of 2 Devices in Pigs To Induce Hypothermia in Laparoscopic Orthotopic Kidney Transplant

Han

Bao²,

Yan³

et al. 2012

Exp Clin Transplant

View full text Add to dashboard Cite

show abstract

“…[3][4][5][6][7][8] The benefits of minimally invasive surgery have been demonstrated across multiple surgical subspecialties and have led to its widespread adoption, [9][10][11][12][13] including in the transplant community, 14,15 such that today laparoscopic surgery is the preferred modality for performing live donor nephrectomy. We have previously described our technique of robotic KT (RKT) with regional hypothermia in a detailed step-by-step manner, 7 and have highlighted the important technical differences that exist between our approach and the minimally invasive techniques described by Giulianotti et al, 3 Boggi et al, 4 and Modi et al 5 However, information on perioperative issues surrounding minimally invasive KT is lacking in these reports. Accordingly, in this report, we aim to focus on perioperative considerations in minimally invasive KT and seek if tweaking of standard perioperative protocols is required in these patients.…”

mentioning

confidence: 99%

Minimally Invasive Kidney Transplantation

et al. 2015

View full text Add to dashboard Cite

show abstract

“…[11][12][13] The application of this technique in human clinical kidney transplant is limited because it is technically demanding. In addition, improvements in the technique are anticipated.…”

Section: Introductionmentioning

confidence: 99%

A Human Cadaver Model For Laparoscopic Kidney Transplant

He¹,

Mou²,

Delrivière³

et al. 2014

Exp Clin Transplant

View full text Add to dashboard Cite

Objectives: To evaluate the technique of laparoscopic kidney transplant and demonstrate the feasibility of this procedure by an extraperitoneal approach. Materials and Methods:The procedure was performed on 2 human cadavers. Retroperitoneal endoscopic left nephrectomy was performed. An extraperitoneal space was established by inflation of a balloon dilator. The external iliac artery and vein were exposed. A Pfannenstiel incision (6 cm) was made and a hand-access device was used. The renal artery was anastomosed to the external iliac artery (end-to-side anastomosis); the renal vein was anastomosed to the external iliac vein (end-to-side anastomosis). The ureter was anastomosed to the bladder with an extravesical tunnelling technique. Results: The donor kidney grafts were obtained successfully. The preparation of the external iliac artery and vein was satisfactory. The entire procedure for the renal artery, renal vein, and ureteral anastomoses was performed with laparoscopic technique without any difficulty.Conclusions: The present model on human cadavers may provide a feasible approach for training surgeons to perform human laparoscopic kidney transplant. The present technique may be applied to clinical human kidney transplant.

show abstract

Laparoscopic Kidney Transplantation: An Initial Experience

Cited by 52 publications

References 23 publications

Comparison of 2 Devices in Pigs To Induce Hypothermia in Laparoscopic Orthotopic Kidney Transplant

Comparison of 2 Devices in Pigs To Induce Hypothermia in Laparoscopic Orthotopic Kidney Transplant

Minimally Invasive Kidney Transplantation

A Human Cadaver Model For Laparoscopic Kidney Transplant

Contact Info

Product

Resources

About