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RETROPERITONEOSCOPIC DONOR NEPHRECTOMY: EXPERIENCE WITH TEN OPERATIONS

https://doi.org/10.15825/1995-1191-2012-3-48-53

Abstract

We modified the method of retroperitoneoscopic live donor nephrectomy and evaluated results of first 10 pro- cedures. We performed four left- and six right-sided donor nephrectomy. There were no conversions to open or hand-assisted surgery. All organs have been successfully transplanted. Retroperitoneoscopic live donor nephrec- tomy is safe and feasible. The method has three main advantages over conventional laparoscopic nephrectomy: the absence of contact with bowel, spleen, liver and other intra-abdominal structures, more comfortable access to the renal artery, absence of intraperitoneal pressure elevation. 

About the Authors

D. V. Perlin
Volgograd Regional Uronephrological Center, Voljsky Department of Urology, Volgograd State Medical University, Volgograd


I. V. Aleksandrov
Volgograd Regional Uronephrological Center, Voljsky Department of Urology, Volgograd State Medical University, Volgograd


A. Y. Nikolaev
Volgograd Regional Uronephrological Center, Voljsky


References

1. Alcaraz A., Rosales A. et al. Early experience of a li- ving donor kidney transplant program // Eur. Urol. 2006. Vol. 50. P. 542–548.

2. Bachmann A., Wolff T., Ruszata R. et al. Retroperitoneo- scopic donor nephrectomy: a retrospective, non-rando- mized comparison of early complications, donor and re- cipient outcome with the standard open approach // Eur. Urol. 2005. Vol. 48. P. 90–96.

3. Breda A., Bui M.H. et al. Incidence of ureteral strictures after laparoscopic donor nephrectomy // J. Urol. 2006. Vol. 176. P. 1065–1068.

4. El-Galley R., Hood N., Young C.J. et al. Donor nephrec- tomy: a comparison of techniques and results of open,

5. hand-assisted and full laparoscopic nephrectomy //

6. J. Urol. 2004. Vol. 171. P. 40–43.

7. Fisher P.C., Montgomery J.S. et al. 200 consecutive

8. hand assisted laparoscopic donor nephrectomies: evo- lution of operative technique and outcomes // J. Urol. 2006. Vol. 175. P. 1439–1443.

9. Greco F., Hoda M.R., Alcaraz A. et al. Laparoscopic Living-Donor Nephrectomy: Analysis of the Existing Literature // Eur. Urol. 2010. Vol. 58. P. 498–509.

10. Kok N.F., Lind M.Y., Hansson B.M. et al. Comparison of laparoscopic and mini incision open donor nephrectomy; single blind, randomised controlled clinical trial // BMJ. 2006. Vol. 33. P. 221–226.

11. Oyen O., Andersen M., Mathisen L. et al. Laparosco- pic versus open living-donor nephrectomy: experiences from a prospective, randomized, single-center study fo- cusing on donor safety // Transplantation. 2005. Vol. 79. P. 1236–1240.

12. Power R.E., Preston J.M. et al. Laparoscopic vs open living donor nephrectomy: a contemporary series from one centre // BJU. 2006. Vol. 98. P. 133–136.

13. Ratner L.E., Ciseck L.J., Moore R.G. et al. Laparosco- pic live donor nephrectomy // Transplantation. 1995. Vol. 60. P. 1047.

14. Ruszat R., Sulser T., Dickenmann M. et al. Retroperito- neoscopic donor nephrectomy: donor outcome and com- plication rate in comparison with three different tech- niques // World J. Urol. 2006. Vol. 24. P. 113–117.

15. Simforoosh N., Basiri A. et al. Comparison of laparosco- pic and open donor nephrectomy: a randomized cont- rolled trial // BJU. 2005. Vol. 95. P. 851–855.

16. Sulser T., Gurke L. et al. Retroperitoneoscopic living do- nor nephrectomy: First clinical experiences after 19 ope- rations // J. Endourol. 2004. Vol. 18. P. 257–262.

17. Suzuki K., Ishikawa A., Ushiyama T., Fujita K. Retro- peritoneoscopic living donor nephrectomy without gas insufflation: five years Hamamatsu University Experi- ence // Transplant Proc. 2002. Vol. 34. P. 720–721.

18. Troppmann C., Perez R.V., McBride M. Similar long- term outcomes for laparoscopic versus open live-donor nephrectomy kidney grafts: an OPTN database analysis of 5532 adult recipients // Transplantation. 2008. Vol. 85. P. 916–919.

19. Wilson C.H., Bhatti A.A., Rix D.A., Soomro N.A. Compa- rison of laparoscopic and open donor nephrectomy: UK experience // BJU. 2005. Vol. 95. P. 131–135.

20. Yang S.C., Lee D.H., Rha K.H., Park K. Retroperitoneo- scopic living donor nephrectomy: two cases // Trans- plant. Proc. 1994 Aug. Vol. 26 (4). P. 2409.

21. Yang S.C., Ko W.J., Byun Y.J., Rha K.H. Retroperitoneo- scopy assisted live donor nephrectomy: The Yonsei ex- perience // J. Urol. 2001. Vol. 165. P. 1099–1102.

22. Yuzawa K., Shinoda M., Fukao K. Outcome of laparosco- pic living donor nephrectomy in 2007: national survey of transplantation centers in Japan // Transplant. Proc. 2009. Vol. 41. P. 85–87.


Review

For citations:


Perlin D.V., Aleksandrov I.V., Nikolaev A.Y. RETROPERITONEOSCOPIC DONOR NEPHRECTOMY: EXPERIENCE WITH TEN OPERATIONS. Russian Journal of Transplantology and Artificial Organs. 2012;14(3):48-53. (In Russ.) https://doi.org/10.15825/1995-1191-2012-3-48-53

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ISSN 1995-1191 (Print)