title: Single stapler technique in laparoscopic donor nephrectomy.
abstract: BACKGROUND
  Laparoscopic donor nephrectomy (LDN) is usually performed with at least 2 separate vascular staplers for division of the renal artery and vein. However, we used a single stapler regardless of the number of renal arteries and veins. Furthermore, the graft was quickly retrieved by hand without using an extraction bag using our technique. Herein we have presented our experience with LDN of grafts with single or multiple renal arteries and/or veins using a single stapler and hand removal.
  
  
  METHODS
  We reviewed demographic data, operative and warm ischemia times, postoperative complications, and graft function.
  
  
  RESULTS
  Between December 2005 and September 2009, we performed 85 cases with 1 renal artery (group LDN-1), 8 cases with two renal arteries (group LDN-2), and 5 cases with 3 or more renal arteries (group LDN-3). The demographic data among the groups were similar. The mean operative time was significantly longer among groups LDN-2 (100.3 ± 9.5 minutes) and LDN-3 (120.6 ± 10.3 minutes) compared with LDN-1 (76.1 ± 9.3 minutes; P < .001). Similar results were observed with respect to warm ischemia times. There were no significant differences related to graft function and outcomes among these groups.
  
  
  CONCLUSIONS
  The single stapler and hand removal technique was safe, technically feasible, and cost effective regardless of the number of renal arteries and veins. This technique removes the necessity of additional staplers and extraction bags, lowers the operative and warm ischemia times, and thus decreases the cost.
authors.affiliation: Department of Surgery, Ankara University School of Medicine, Ankara, Turkey.
authors.forename: V
authors.initials: V
authors.lastname: Genc
authors.forename: E
authors.initials: E
authors.lastname: Orozakunov
authors.forename: E
authors.initials: E
authors.lastname: Ozgencil
authors.forename: O S
authors.initials: OS
authors.lastname: Can
authors.forename: A A
authors.initials: AA
authors.lastname: Yilmaz
authors.forename: G
authors.initials: G
authors.lastname: Cipe
authors.forename: O
authors.initials: O
authors.lastname: Ozsay
authors.forename: E
authors.initials: E
authors.lastname: Ustuner
authors.forename: S
authors.initials: S
authors.lastname: Oray
authors.forename: D
authors.initials: D
authors.lastname: Oztuna
authors.forename: A
authors.initials: A
authors.lastname: Cakmak
authors.forename: A
authors.initials: A
authors.lastname: Tuzuner
authors.forename: S M
authors.initials: SM
authors.lastname: Hazinedaroglu
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D016030:Kidney Transplantation / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000379:methods*; D014019:Tissue Donors; D055815:Young Adult