%0 Journal Article
%T Hand-assisted laparoscopic nephrectomy in living donor
%A Santos
%A Luiz S.
%A Varaschin
%A Andr¨¦ E.
%A Meyer
%A Fernando
%A Branco
%A Alcides
%A Koleski
%A Fernando
%A Carvalho
%A Ronaldo
%J International braz j urol
%D 2003
%I Sociedade Brasileira de Urologia
%R 10.1590/S1677-55382003000100003
%X objective: report the authors£¿ initial experience with hand-assisted laparoscopic nephrectomy technique in renal donors for transplantation. materials and methods: twenty-seven donors submitted to hand-assisted laparoscopic nephrectomy were retrospectively analyzed from february 2001 to june 2002. technical aspects of the donor surgery, results, and complications, are discussed, as well as recipient£¿s complications and outcomes. results: among 27 hand-assisted laparoscopic nephrectomies, left kidney was withdrew in 18 donors (66.6%), and right kidney in 9 (33.3%). the operative time ranged from 55 to 210 minutes (mean 132.7 ¡À 37.6 min), and the time of hot ischemia ranged from 2 to 11 minutes (mean 4.7 ¡À 2.5 min), with an estimated mean blood loss during the intraoperative period of 133.3 ml. conversion to open surgery was necessary for 1 (3.7%) patient due to vascular lesion. in graft evaluation, immediate diuresis was observed in 26 (96.3%) cases, and mean serum creatinine in po day 7 was 1.5 ¡À 1.1 mg/dl. renal vein thrombosis occurred in 1 (3.7%) patient requiring graft removal. lymphocele was observed in 3 recipients (11.1%), and urinary leakage due to ureteral necrosis in 1 case (3.7%). conclusion: hand-assisted laparoscopic nephrectomy in living donors is a safe procedure and an effective alternative to open nephrectomy. in this series, the procedure presented low morbidity after surgery providing to the recipient a good morphological and functional quality of the graft.
%K kidney
%K kidney transplantation
%K laparoscopy
%K living donors.
%U http://www.scielo.br/scielo.php?script=sci_abstract&pid=S1677-55382003000100003&lng=en&nrm=iso&tlng=en