V94 - Laparoscopic partial nephrectomy in kidney transplantation
Publication date: March 2019Source: European Urology Supplements, Volume 18, Issue 1Author(s): C. Garcia Alvarez, A.C. Plata Bello, R.J. González Álvarez, T.M. Secaduras Arbelo, A.V. Cabral Fernández, D. Cereijo Tejedor, M.A. Navarro Galmés, N. Fernández Cranz, T. Concepción Masip
This study was conducted in 60 donors from January 2016 to December 2017. We performed a retrospective review of consecutive patients who underwent transperitoneal right LLDN at our unit.ResultsLLDRN was successfully performed in all subjects by the same surgeons. There were 48 males and 12 females. Among 60 cases, 47 donors had single renal artery and vein, 2 cases had 1 artery and 2 veins, and 5 donors had 2 arteries and 1 vein, and the rest had 2–3 arteries with 1–3 veins. Operative time (OT) was 142.60 ± 33.73 min. Warm ischemic time (WIT) was 2.64 ± 0.76 min. The...
Abstract Kidney transplant is a choice option for treatment of chronic kidney failure because it is associated with cost-effective and normal quality of life. To increase the number of living kidney donors, laparoscopic and minimal invasive modalities have been introduced. Here, we present a case of a living donor with an extremely rare complication after laparoscopic donor nephrectomy that presented as massive chylous ascites. Kidney donor operation can be performed with the use of 3 modalities: traditional open, laparoscopic, and open with minimally invasive. All 3 modalities may be associated with some complica...
ConclusionThis case describes our comprehensive approach in this complex surgical scenario to preserve donor safety and provide an optimal kidney graft.
This study included retrospective data of 95 consecutive donors in a transplant center who were under going donor nephrectomy. RESULTS: : Donor demographics and clinical characteristics were generally similar between treatment groups. There were fewer female donors in the finger-assisted open donor nephrectomy treatment group (70.5% vs 29.5%; P = .003), but median body mass index was similar between groups (28 vs 26 kg/m²; P = .032). Patients who received laparoscopic donor nephrectomy had longer operative duration (3.5 vs 1.2 h; P
Kidney transplantation (KT) is the gold-standard treatment for end-stage renal disease (ESRD) in children. Robot-assisted kidney transplantation (RAKT) in adults is becoming increasingly common in centers of reference with promising results and potentially improved morbidity compared to open KT. Our objective was to evaluate the feasibility, perioperative and 1-year postoperative outcomes of RAKT in children. To our knowledge, this is the first report of RAKT in a child. The technique is presented in our video.
Kidney transplantation (KT) is the gold-standard treatment for end-stage renal disease (ESRD) in children. Robot-assisted kidney transplantation (RAKT) in adults is becoming increasingly common with potentially improved morbidity compared with open KT. The study objective was to evaluate feasibility and outcomes of RAKT in children.
This study was conducted in 60 donors (48 males and 12 females) from January 2016 to December 2017. We performed a retrospective review of consecutive patients who underwent transperitoneal right laparoscopic living donor nephrectomy at our unit. RESULTS: LLDRN was successfully performed in all subjects by the same surgeons. Among 60 cases, 47 donors had single renal artery and vein, 2 cases had one artery and 2 veins, and 5 donors had 2 arteries and one vein, and the rest had 2-3 arteries with 1-3 veins. Operative time was 142.60±33.73min. Warm ischemic time was 2.64±0.76min. The mean hospital stay was ...
ConclusionTransplantation from living donors allows better results in terms of graft survival without exposing the donor to inconsiderate risks, provided that the donors are properly selected.
CONCLUSIONS: Data from our series demonstrate that outcomes and renal function follow up over time were similar among both groups. In expert hands, this altruistic procedure can be performed with a minimally invasive approach without an increased complication rate or compromising renal function in donors. PMID: 31223128 [PubMed - in process]
Conclusions: Careful evaluation of computed tomography angiography just before surgery will act like a global positioning system (GPS) for the operating surgeon. Rescue stitch is a saviour. Not to panic and being well versed with the risk reduction strategies of laparoscopy a nd rescue measures is of paramount importance.