Hand-assisted laparoscopic donor nephrectomy |
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Authors: | W. A. Bemelman R. C. van Doorn L. Th. de Wit C. Kox J. Surachno O. R. C. Busch D. J. Gouma |
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Affiliation: | (1) Department of Surgery, Academic Medical Center, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands, NL;(2) Department of Nephrology, Academic Medical Center, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands, NL |
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Abstract: | Background: The hand-assisted approach to laparoscopic donor nephrectomy (LDN) might minimize the learning curve and shorten both the operation and the warm ischemia time. Our initial results from hand-assisted LDN are presented and compared with data from the literature. Methods: From January to September 2000, ten hand-assisted LDNs of the right kidney were performed. Results: The median operation time was 140 min (range, 120--400 min), and the warm ischemia time was 2.5 min (range, 1--4 min). There were no conversions. Postoperative morbidity included one urinary tract infection. All but one patient returned to a normal diet within 48 h. Opiates were needed a maximum of 48 h. One recipient experienced initial loss of graft function as a result of unknown causes. Conclusions: Even at the beginning of the learning curve, operation time and warm ischemia time are significantly reduced by the hand-assisted approach, as compared with conventional LDN. apd: 3 April 2001 |
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