+ Site Statistics
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Hand-assisted laparoscopic live donor nephrectomy using newly produced LAP DISC: initial three cases

Hand-assisted laparoscopic live donor nephrectomy using newly produced LAP DISC: initial three cases

Journal of Endourology 15(6): 571-574

A new abdominal sealing device, called the LAP DISC, was used for the first time in hand-assisted laparoscopic live donor nephrectomy (HALDN) on three donors. The LAP DISC is made of three layers of rings connected by a rubber membrane, which covers the peritoneum and abdominal wall. The upper ring can adjust to the surgeon's hand size for insertion. The LAP DISC was seated through an approximately 7-cm midline incision under the xiphoid process. The laparoscopic port was inserted through the LAP DISC, and thereafter, pneumoperitoneum was established. Three trocars were then placed under direct vision. The surgeon's left arm was inserted into the LAP DISC and used for manual retraction, dissection, and hemostasis. In the three operations, the kidneys were removed through the LAP DISC. The total warm ischemic times of the kidney were 15, 8, and 4 minutes, and the total operative times were 323, 195, and 240 minutes, respectively. After the subsequent transplantation into the recipient, the kidneys produced clear urine immediately on reperfusion. The recipient creatinine fell to 4.2, 5.6, and 3.9 mg/mL on postoperative day 1. All three donors resumed consistent oral intake within 24 hours after surgery and returned to normal, nonstrenuous activity by postoperative day 6. The LAP DISC device is excellent for HALDN and may increase the number of surgeons and donors who select HALDN.

(PDF emailed within 0-6 h: $19.90)

Accession: 046211044

Download citation: RISBibTeXText

PMID: 11552778

DOI: 10.1089/089277901750426319

Related references

Comparison of open live donor nephrectomy, laparoscopic live donor nephrectomy, and hand-assisted live donor nephrectomy: a cost-minimization analysis. Journal of Surgical Research 176(2): E89-E94, 2012

Hand-assisted laparoscopic live donor nephrectomy - initial experience. South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie 49(1): 18-21, 2011

Retroperitoneal laparoscopic hand-assisted live-donor nephrectomy: our initial experience. Minimally Invasive Therapy & Allied Technologies 11(1): 29-33, 2006

Hand-assisted, laparoscopic nephrectomy for live donor organ harvesting. Initial results. Der Chirurg; Zeitschrift für Alle Gebiete der Operativen Medizen 72(5): 588-592, 2001

Hand-assisted laparoscopic live donor nephrectomy (report of 45 cases). 2007

Hand-assisted laparoscopic live donor nephrectomy: report of 100 cases. Transplantation Proceedings 36(7): 1898-1900, 2004

Hand-assisted laparoscopic live donor nephrectomy (right-sided approach): experience obtained from 31 cases. Transplantation Proceedings 39(8): 2476-2477, 2007

Hand-assisted laparoscopic surgery (HALS) for live donor nephrectomy is more time- and cost-effective than standard laparoscopic nephrectomy. Surgical Endoscopy 16(3): 422-425, 2002

Comparison of recovery between open live donor nephrectomy and hand-assisted laparoscopic nephrectomy. Journal of Urology 159(5 SUPPL ): 116, 1998

Technical considerations in hand-assisted laparoscopic live donor nephrectomy: initial Taiwan experience from National Taiwan University Hospital. Journal of the Formosan Medical Association 101(1): 76-79, 2002

Hand-assisted laparoscopic live-donor nephrectomy. Journal of the American College of Surgeons 192(1): 132-136, 2001

Hand-assisted laparoscopic live donor nephrectomy. British Journal of Surgery 91(3): 344-348, 2004

Hand-assisted right laparoscopic live donor nephrectomy. International Braz J Urol 31(5): 421-9; Discussion 429-30, 2005

Comparison of 100 consecutive hand-assisted laparoscopic donor nephrectomies to open live donor nephrectomy. Journal of Urology 167(4 Supplement): 370, April, 2002