[Anesthetic considerations in laparoscopy for removal of a kidney from a live donor].
Kidney transplantation is the main therapeutic alternative for patients with end-stage renal failure. However, the main constraint at present is the lack of available organs. Removal of a kidney from a live donor is a better option than conventional transplantation of a cadaver-donated organ. Among the advantages are a shorter waiting time for the organ recipient and greater assurance of graft quality and survival. The postoperative conditions made possible by laparoscopic surgery have encouraged the donation of tissues by live donors. Anesthetic treatment for patients undergoing laparoscopic surgery must be based on an understanding of the pathophysiologic changes that occur in this type of procedure so that complications can be prevented. This review provides an update of progress in laparoscopic surgery and the repercussions of anesthetic management, particularly with respect to anesthesia for kidney donors.
Servicio de Anestesiología y Reanimación, Hospital Universitario La Fe, Valencia. mariamonsma@hotmail.com
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D034841:Abdominal Cavity; D000768:Anesthesia, General / Q000009:adverse effects / Q000379:methods*; D000769:Anesthesia, Inhalation; D000771:Anesthesia, Intravenous; D004231:Diuresis; D046148:Donor Selection; D005440:Fluid Therapy; D006321:Heart / Q000502:physiology; D006801:Humans; D007430:Intraoperative Care; D007668:Kidney / Q000098:blood supply / Q000502:physiology; D010535:Laparoscopy / Q000379:methods*; D019520:Living Donors; D016343:Monitoring, Intraoperative; D009392:Nephrectomy / Q000379:methods*; D011028:Pneumoperitoneum, Artificial / Q000379:methods; D011183:Postoperative Complications / Q000517:prevention & control; D011312:Pressure; D012119:Respiration; D020858:Tissue and Organ Harvesting / Q000379:methods*