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Information Journal Paper

Title

Mini-Laparoscopic Live Donor Nephrectomy: Initial Series (LAPAROSCOPIC UROLOGY)

Pages

  1054-1058

Abstract

 Purpose: To present the safety and surgical outcomes of the initial series of mini-laparoscopic live donor nephrectomy and graft outcomes in related recipients. Materials and methods: From January 2012 through July 2012, fifty patients underwent minilaparoscopic live donor nephrectomy. Two 3. 5 mm trocars were inserted above and lateral to the umbilicus for grasping and scissoring. One 5 mm trocar with a camera was inserted in the umbilicus and an 11 mm trocar was inserted through fascia from a 6-8 cm Pfannenstiel incision for bipolar coagulation, kidney extraction, and vascular clip applier. Results: Mean age of donors was 28 ± 4. 2 (range, 21-39) years. Mean operative time from trocar insertion was 145. 8 (range, 85-210) minutes. No major perioperative or postoperative complications occurred. The average decrease in hemoglobin level was 1. 14 (range, 0. 32-1. 8) mg/dL and no one required blood transfusion. Mean warm ischemia time was 4. 41 (range, 2. 35-9) minutes. Mean hospital stay was 2. 2 (range, 2-5) days. Mean follow-up time of the recipients was 215 (range, 130-270) days. The mean serum creatinine level of the recipients at discharge time and the last follow-up visit was 1. 38 mg/dL and 1. 22 mg/dL, respectively. Conclusions: While the primary purpose of this technique is to make donor nephrectomy less invasive and more cosmetic, it is also comfortable for the laparoscopist surgeons because it is nearly similar to standard laparoscopy. A randomized controlled trial with a large sample size, long-term follow-up, and comparison with standard laparoscopy are necessary to present more definitive data about this technique.

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  • Cite

    APA: Copy

    SIMFOROOSH, NASSER, SOLTANI, MOHAMMAD HOSSEIN, HOSSEINI SHARIFI, SEYED HOSSEIN, Ahanian, Ali, LASHAY, ALIREZA, ARAB, DAVOOD, & ZARE, SAMAD. (2013). Mini-Laparoscopic Live Donor Nephrectomy: Initial Series (LAPAROSCOPIC UROLOGY). UROLOGY JOURNAL, 10(4), 1054-1058. SID. https://sid.ir/paper/271062/en

    Vancouver: Copy

    SIMFOROOSH NASSER, SOLTANI MOHAMMAD HOSSEIN, HOSSEINI SHARIFI SEYED HOSSEIN, Ahanian Ali, LASHAY ALIREZA, ARAB DAVOOD, ZARE SAMAD. Mini-Laparoscopic Live Donor Nephrectomy: Initial Series (LAPAROSCOPIC UROLOGY). UROLOGY JOURNAL[Internet]. 2013;10(4):1054-1058. Available from: https://sid.ir/paper/271062/en

    IEEE: Copy

    NASSER SIMFOROOSH, MOHAMMAD HOSSEIN SOLTANI, SEYED HOSSEIN HOSSEINI SHARIFI, Ali Ahanian, ALIREZA LASHAY, DAVOOD ARAB, and SAMAD ZARE, “Mini-Laparoscopic Live Donor Nephrectomy: Initial Series (LAPAROSCOPIC UROLOGY),” UROLOGY JOURNAL, vol. 10, no. 4, pp. 1054–1058, 2013, [Online]. Available: https://sid.ir/paper/271062/en

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