Three-dimensional laparoscopy for living-donor nephrectomy with vaginal extraction: The first case |
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Institution: | 1. Département d’Urologie, Transplantation Rénale et Andrologie, CHU Rangueil, Toulouse, France;2. Département de Néphrologie et Transplantation d’Organes, CHU Rangueil, Toulouse, France |
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Abstract: | IntroductionTwo-dimensional laparoscopy for living donor nephrectomy is the current standard of care. We report the first case of three-dimensional laparoscopy for living-donor nephrectomy with vaginal extraction.Presentation of caseThe procedure was performed in a 66-year-old woman donating his left kidney to her son with the HD S 3D column (Karl Storz, Tuttlingen, Germany). Preoperative computed tomography showed one left renal artery. The warm ischemic time was 2 min 20 s and the operative time was 200 min. There was no loss of blood and no intraoperative or postoperative complications.DiscussionThis report demonstrates the feasibility of using 3D laparoscopy which allows for a more in-depth vision, greater overall definition of planes, better accuracy of dissection and reduced operative times, for nephrectomy with vaginal extraction for kidney donation.ConclusionThree-dimensional laparoscopy for living-donor nephrectomy with vaginal extraction is feasible and could become a new standard. |
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Keywords: | 3-dimensional Laparoscopy Nephrectomy Living-donor Vagina |
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