Endoscopic management of bisected hemidiaphragm during retroperitoneoscopic donor nephrectomy.
Retroperitoneoscopy is our preferred technique for renal surgery and is routinely performed for living donor nephrectomy. We report a case of a totally bisected left hemidiaphragm during left-sided retroperitoneoscopic donor nephrectomy. This was most likely caused when creating the retroperitoneal working space by balloon dilation. Because the cardiopulmonary situation of the patient remained stable, retroperitoneoscopic donor nephrectomy was performed with the standard technique. This report describes for the first time the retroperitoneoscopic reconstruction of a diaphragmatic injury.
Department of Urology, University Hospital Basel, Basel, Switzerland. rruszat@uhbs.ch
Robin
R
Ruszat
Stephen F
SF
Wyler
Lorenz
L
Gürke
Franco
F
Gambazzi
Nicole
N
Ebinger
Jürg
J
Steiger
Tullio
T
Sulser
Thomas C
TC
Gasser
Alexander
A
Bachmann
D000328:Adult; D002404:Catheterization / Q000009:adverse effects*; D003964:Diaphragm / Q000293:injuries*; D004724:Endoscopy; D005260:Female; D006801:Humans; D016030:Kidney Transplantation; D009392:Nephrectomy / Q000009:adverse effects*; D012187:Retroperitoneal Space; D013536:Suture Techniques; D020858:Tissue and Organ Harvesting / Q000009:adverse effects*