Title
Laparoscopic live donor right nephrectomy : a new technique to maximize the length of the renal vein using a modified endo GIA staplerLaparoscopic live donor right nephrectomy : a new technique to maximize the length of the renal vein using a modified endo GIA stapler
Author
Faculty/Department
Faculty of Medicine and Health Sciences
Publication type
article
Publication
Basel,
Subject
Human medicine
Source (journal)
European urology / European Association of Urology. - Basel
Volume/pages
51(2007):5, p. 1326-1331
ISSN
0302-2838
ISI
000246053400028
Carrier
E
Target language
English (eng)
Full text (Publishers DOI)
Abstract
Objectives: To report the utilization of a modified Endo GIA vascular stapler to obtain the full length of the renal vein during transperitoneal laparoscopic live donor right nephrectomy. Methods: We used a modified Endo GIA stapler, in which the triple staggered rows of staples were removed from the kidney donor side to obtain the full length of the right renal vein. This technique has currently been used in nine consecutive transperitoneal laparoscopic right donor nephrectomies. Results: With this technique, the entire right renal vein length was harvested in all cases, without vascular complications. Mean renal warm ischemia time from clamping of the renal vessels to cold perfusion was 135 s, and mean receptor postoperative glomerular filtration rate after 30 d was 67.3 ml/min. There were no graft losses. Conclusions: A novel technique for laparoscopic live donor right nephrectomy is described. It allows harvesting the full length of the right renal vein in a safe and feasible way without compromising warm ischemia time. (c) 2006 Published by Elsevier B.V. on behalf of European Association of Urology.
E-info
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