Hand-assisted transperitoneal laparoscopic living donor nephrectomy.
OBJECTIVE
We introduced and evaluated the advantages and disadvantages of the hand-assisted transperitoneal laparoscopic technique for living donor nephrectomy.


METHODS
In December 2001, we started using the technique of hand-assisted transperitoneal laparoscopic living donor nephrectomy (HLDN) in 10 cases. The procedure utilizes a hand-assisted device to increase safety and control of the laparoscopic technique.


RESULTS
Only left nephrectomy was performed. The mean total operating and the warm ischemia times were 130 minutes and 3.0 minutes, respectively. Average lengths of renal artery and vein were 1.95 cm and 2.8 cm, respectively. There were no intraoperative or postoperative complications.


CONCLUSIONS
HLDN is an easier procedure than the traditional laparoscopic living donor nephrectomy and can greatly mitigate the learning curve. HLDN has shortened warm ischemia time and operating time. It is also good for trocar placement, prevention of torsion of the kidney, control of potential bleeding at the final stage of vascular stapling, and kidney removal. Therefore, HLDN is a promising method for living donor nephrectomy.
Cai
M
M
Department of Urology, Beijing, China.
Shi
B
B
Qian
Y
Y
Mo
C
C
Du
G
G
Bai
H
H
Wang
Y
Y
Zheng
D
D
Que
S
S
Chen
Z K
ZK
D000328:Adult; D005220:Fathers; D005260:Female; D006801:Humans; D016030:Kidney Transplantation / Q000502:physiology*; D010535:Laparoscopy / Q000379:methods*; D019520:Living Donors; D008297:Male; D008875:Middle Aged; D009035:Mothers; D009392:Nephrectomy / Q000379:methods*; D010529:Peritoneal Cavity; D012077:Renal Artery / Q000033:anatomy & histology; D012082:Renal Veins / Q000033:anatomy & histology; D012189:Retrospective Studies; D035781:Siblings; D020858:Tissue and Organ Harvesting / Q000379:methods*; D016896:Treatment Outcome