Donor nephrectomy in the era of hand-assisted laparoscopic urologic surgery.
Living-donor nephrectomy has traditionally been performed through a flank incision with or without rib resection or by an anterior extraperitoneal incision, both of which reduce the willingness of potential donors to undergo the procedure. The first successful human laparoscopic donor nephrectomy was reported in 1995. In order to reduce warm ischemia and operative time and to make the operation safer and easier, some laparoscopic surgeons have used hand assistance. The authors describe their technique for this operation and review the results.
Mendez-Torres
Freddy R
FR
Department of Urology, Tulane University Health Sciences Center, New Orleans, Louisiana, USA.
Urena
Ruben
R
Slakey
Douglas
D
Thomas
Raju
R
D004867:Equipment Design; D006801:Humans; D020706:Laparoscopes; D010535:Laparoscopy / Q000379:methods*; D009392:Nephrectomy / Q000379:methods*; D014019:Tissue Donors