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.
Ruszat
Robin
R
Department of Urology, University Hospital Basel, Basel, Switzerland. rruszat@uhbs.ch
Wyler
Stephen F
SF
Gürke
Lorenz
L
Gambazzi
Franco
F
Ebinger
Nicole
N
Steiger
Jürg
J
Sulser
Tullio
T
Gasser
Thomas C
TC
Bachmann
Alexander
A
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*