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Modified endoscopic live donor nephrectomy: Retroperitoneoscopy followed by hand‐assistance
Author(s) -
FURUYA YASUHISA,
ARAKI ISAO,
ZAKOJI HIDENORI,
TAKIHANA YOSHIO,
TANABE NOBUAKI,
TAKEDA MASAYUKI
Publication year - 2005
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1111/j.1442-2042.2005.01099.x
Subject(s) - medicine , nephrectomy , dissection (medical) , surgery , kidney , renal vein , ureter , renal artery , renal function
We have developed a novel modification of previous approaches to donor nephrectomy and herein review our original operative procedure. First, the posterior aspect of the kidney was dissected retroperitoneoscopically and dissection of the renal artery, ureter and gonadal vein was almost completed. Second, the anterior aspect of the kidney was dissected with transperitoneal hand‐assistance, and dissection of the renal pedicle from the anterior surface was accomplished easily and safely. This operative procedure was successfully performed for two donors with no intraoperative or postoperative complications. Our modified endoscopic donor nephrectomy is feasible as a minimally invasive procedure because of its safety, and its ability to preserve renal function and establish an excellent operative field for both posterior and anterior aspects of the kidney.