Skip to main content
SpringerLink
Log in

Anaesthesia Concerns for Laparoscopic Donor Nephrectomy

  • Chapter
  • First Online:
Laparoscopic Donor Nephrectomy

Abstract

Anesthesia during laparoscopic donor nephrectomy remains the key component for success. The various aspects that the treating medical professionals should know in this regard are the details regarding the preanaethesia check up, intraoperative management anaethesia related issues and the post-operative care. In this chapter these points are detailed.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 54.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Hou S. Expanding the kidney donor pool: ethical and medical consideration. Kidney Int. 2000;58:1820–36.

    Article  CAS  PubMed  Google Scholar 

  2. Ellison MD, McBride MA, Taranto SE, et al. Living kidney donors in need of kidney transplants: a report from the organ procurement and transplantation network. Transplantation. 2002;74:1349–51.

    Article  PubMed  Google Scholar 

  3. Davis CL. Evaluation of the living kidney donor: current perspectives. Am J Kidney Dis. 2004;43:503–30.

    Article  Google Scholar 

  4. Port FK, Dykstra DM, Merion RM, et al. Trends and results for organ donation and transplantation in united states, 2004. Am J Transplant. 2005;5:843–9.

    Article  PubMed  Google Scholar 

  5. Melcher ML, Carter JT, Posselt A, et al. More than 500 consecutive laparoscopic donor nephrectomies without conversion or repeated surgery. Arch Surg. 2005;140:835–40.

    Article  PubMed  Google Scholar 

  6. Ratner LE, Montgomery RA, Kavoussi LR. Laparoscopic live donor nephrectomy: a review of the first 5 years. Urol Clin North Am. 2001;28:709–19.

    Article  CAS  PubMed  Google Scholar 

  7. Lee BR, Chow GK, Ratner LE, et al. Laparoscopic live donor nephrectomy: outcomes equivalent to open surgery. J Endourol. 2000;14:811–9.

    Article  CAS  PubMed  Google Scholar 

  8. Jayashree S, Kumra VP. Anaesthesia for laparoscopic surgery. Indian J Surg. 2003;65:232–40.

    Google Scholar 

  9. Bardoczky GI, Engelman E, Levarlet M, et al. Ventilatory effects of pneumoperitoneum monitored with continuous spirometry. Anaesthesia. 1993;48:309–11.

    Article  CAS  PubMed  Google Scholar 

  10. Fahy BG, Barnas GM, Flowers JL, et al. The effects of increased abdominal pressure on lung and chest wall mechanics during laparoscopic surgery. Anesth Analg. 1995;81:744.

    CAS  PubMed  Google Scholar 

  11. Dumont L, Mattys M, Mardirosoff C, et al. Changes in pulmonary mechanics during laparoscopic gastroplasty in morbidly obese patients. Acta Anaesthesiol Scand. 1997;41:408–13.

    Article  CAS  PubMed  Google Scholar 

  12. Sprung J, Whalley DG, Falcone T, et al. The impact of morbid obesity, pneumoperitoneum, and posture on respiratory system mechanics and oxygenation during laparoscopy. Anesth Analg. 2002;94:1345.

    Article  PubMed  Google Scholar 

  13. Odeberg-Wernerman S. Laparoscopic surgery – effects on circulatory and respiratory physiology: an overview. Eur J Surg (Suppl). 2000;585:4.

    Article  Google Scholar 

  14. Ivankovich AD, Miletich DJ, Albrecht RF, et al. Cardiovascular effects of intraperitoneal insufflation with carbon dioxide insufflation and nitrous oxide in the dog. Anesthesiology. 1975;42:281–7.

    Article  CAS  PubMed  Google Scholar 

  15. Takata M, Wise RA, Robotham JL. Effects of abdominal pressure on venous return: abdominal vascular zone conditions. J Appl Physiol. 1990;69:1961–72.

    CAS  PubMed  Google Scholar 

  16. Cunningham AJ, Turner J, Rosenbaum S, et al. Transoesophageal echocardiographic assessment of haemodynamic function during laparoscopic cholecystectomy. Br J Anaesth. 1993;70:621–5.

    Article  CAS  PubMed  Google Scholar 

  17. Odeberg S, Ljungqvist O, Svenberg T, et al. Haemodynamic effects of pneumoperitoneum and the influence of posture during anaesthesia for laparoscopic surgery. Acta Anaesthesiol Scand. 1994;38:276–83.

    Article  CAS  PubMed  Google Scholar 

  18. Giebler RM, Behrends M, Steffens T, et al. Intraperitoneal and retroperitoneal carbon dioxide insufflation evoke different effects on caval vein pressure gradients in humans: evidence for the starling resistor concept of abdominal venous return. Anesthesiology. 2000;92:1568–80.

    Article  CAS  PubMed  Google Scholar 

  19. Abassi Z, Bishara B, Karram T, et al. Adverse effects of pneumoperitoneum on renal function: involvement of the endothelin and nitric oxide systems. Am J Physiol Regul Integr Comp Physiol. 2008;294:842–50.

    Article  Google Scholar 

  20. Rosenthal RJ, Hiatt JR, Phillips EH, et al. Intracranial pressure: effects of pneumoperitoneum in a large-animal model. Surg Endosc. 1997;11:376–80.

    Article  CAS  PubMed  Google Scholar 

  21. Fowkes FJ, Price JF, Fowkes FG. Incidence of diagnosed deep vein thrombosis in general population: systemic review. Eur J Vasc Andovasc Surg. 2003;25:1.

    Article  CAS  Google Scholar 

  22. Kavoussi LR, Sosa E, Chandhoke P, et al. Complications of laparoscopic pelvic lymph node dissection. J Urol. 1993;149:322.

    CAS  PubMed  Google Scholar 

  23. Cadeddu JA, Wolf Jr JS, Nakada S, et al. Complications of laparoscopic procedures after concentrated training in urological laparoscopy. J Urol. 2001;166:2109.

    Article  CAS  PubMed  Google Scholar 

  24. Pradoni P, Lensing AW, Cogo A, et al. The long term clinical course of acute deep venous thrombosis. Ann Intern Med. 1996;125:1.

    Article  Google Scholar 

  25. Turpie AG, Chin BS, Lip GY. ABC of antithrombotic therapy: venous thromboembolism: pathophysiology, clinical features and prevention. BMJ. 2002;325:887.

    Article  PubMed  PubMed Central  Google Scholar 

  26. Neudecker J, Sauerland S, Neugebauer E, et al. The European association for endoscopic surgery clinical practice guideline on the pneumoperitoneum for laparoscopic surgery. Surg Endosc. 2002;16:1121.

    Article  CAS  PubMed  Google Scholar 

  27. Gan TJ, Glass PS, Windsor A, et al. Bispectral index monitoring allows faster emergence and improved recovery from propofol, alfentanil and nitrous oxide anesthesia. Anesthesiology. 1997;87:808.

    Article  CAS  PubMed  Google Scholar 

  28. Song D, Joshi GP, White PF. Titration of volatile anesthetics using bispectral index facilitates recovery after ambulatory anesthesia. Anesthesiology. 1997;87:842.

    Article  CAS  PubMed  Google Scholar 

  29. Knos GB, Sung YF, Toledo A. Pneumopericardium associated with laparoscopy. J Clin Anesth. 1991;3:56–9.

    Article  CAS  PubMed  Google Scholar 

  30. Holte K, Klarskov B, Christensen DS, et al. Liberal versus restrictive fluid administration to improve recovery after laparoscopic cholecystectomy: a randomized, double-blind study. Ann Surg. 2004;240:892–9.

    Article  PubMed  PubMed Central  Google Scholar 

  31. Magner JJ, McCaul C, Carton E, et al. Effect of intraoperative intravenous crystalloid infusion on postoperative nausea and vomiting after gynaecological laparoscopy: comparison of 30 and 10 ml kg(-1). Br J Anaesth. 2004;93:381.

    Article  CAS  PubMed  Google Scholar 

  32. Maharaj CH, Kallam SR, Malik A, et al. Preoperative intravenous fluid therapy decreases postoperative nausea and pain in high risk patients. Anesth Analg. 2005;100:675.

    Article  CAS  PubMed  Google Scholar 

  33. Peter J. Morris, Stuart J. Knechtle. Kidney transplantation. 6th ed. Chapter 8B laparoscopic live donor nephrectomy; 2008:119.

    Google Scholar 

  34. Joshi GP. Multimodal analgesia techniques and postoperative rehabilitation. Anesthesiol Clin North Am. 2005;23(1):185–202.

    Article  CAS  Google Scholar 

  35. Liu SS, Carpenter RL, Mackey DC, et al. Effects of perioperative analgesic technique on rate of recovery after colon surgery. Anesthesiology. 1995;83:757–65.

    Article  CAS  PubMed  Google Scholar 

  36. Williams M, Milner QJW. Postoperative analgesia following renal transplantation – current practice in the UK. Anaesthesia. 2003;58(7):712–3.

    Article  CAS  PubMed  Google Scholar 

  37. Nikolajsen L, Sørensen HC, Jensen TS, et al. Chronic pain following caesarean section. Acta Anaesthesiol Scand. 2004;48(1):111–6.

    Article  CAS  PubMed  Google Scholar 

  38. Kehlet H. Multimodal approach to control postoperative pathophysiology and rehabilitation. Br J Anaesth. 1997;78(5):606–17.

    Article  CAS  PubMed  Google Scholar 

  39. Kehlet H. Modification of responses to surgery by neural blockade: clinical implications. In: Cousins MJ, Bridenbaugh, editors. Neural blockade in clinical aneathesia and management of pain. 3rd ed. Philadelphia: Lippincott-Raven; 1998. p. 129–71.

    Google Scholar 

  40. Kehlet H, Holte K. Effect of postoperative analgesia on surgical outcome. Br J Anaesth. 2001;87(1):62–72.

    Article  CAS  PubMed  Google Scholar 

  41. Addison NV, Brear FA, Budd K, et al. Epidural analgesia following cholecystectomy. Br J Surg. 1974;61(10):850–2.

    Article  CAS  PubMed  Google Scholar 

  42. Dolin SJ, Cashman JN, Bland JM. Effectiveness of acute postoperative pain management: I. Evidence from published data. Br J Anaesth. 2002;89(3):409–23.

    Article  CAS  PubMed  Google Scholar 

  43. Suarez-Sanchez L, Perales-Caldera E, Pelaez-Luna MC, et al. Postoperative outcome of open donor nephrectomy under epidural analgesia: a descriptive analysis. Transplant Proc. 2006;38(3):877–81.

    Article  CAS  PubMed  Google Scholar 

  44. McDonnell JG, O’Donnell B, Curley G, Heffernan A, et al. The analgesic efficacy of transversus abdominis plane block after abdominal surgery: a prospective randomized controlled trial. Anesth Analg. 2007;104(1):193–7.

    Article  PubMed  Google Scholar 

  45. McDonnell JG, Curley G, Carneyetal J. The analgesic efficacy of transverses abdominis plane block after caesarean delivery: a randomized controlled trial. Anesth Analg. 2008;106(1):186–91.

    Article  CAS  PubMed  Google Scholar 

  46. Vloka JD, Hadzic A, Mulcare R, et al. Femoral and genitofemoral nerve blocks versus spinal anesthesia for outpatients undergoing long saphenous vein stripping surgery. Anesth Analg. 1997;84(4):749–52.

    Article  CAS  PubMed  Google Scholar 

  47. Li S, Coloma M, White PF, et al. Comparison of the costs and recovery profiles of three anesthetic techniques for ambulatory anorectal surgery. Anesthesiology. 2000;93(5):1225–30.

    Article  CAS  PubMed  Google Scholar 

  48. Song D, Greilich NB, White PF, et al. Recovery profiles and costs of anesthesia for outpatient unilateral inguinal herniorrhaphy. Anesth Analg. 2000;91(4):876–81.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Anaesthesia, Muljibhai Patel Urological Hospital, Dr Virendra Desai Road, Nadiad, Gujarat, India

    Dinesh Prajapati DA, DNB (Anaesthesia), Deepak Mistry & Manoj Patel

  2. Department of Urology, Muljibhai Patel Urological Hospital, Dr Virendra Desai Road, Nadiad, Gujarat, India

    Ankush Jairath

Authors
  1. Dinesh Prajapati DA, DNB (Anaesthesia)
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Deepak Mistry
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Manoj Patel
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Ankush Jairath
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Dinesh Prajapati DA, DNB (Anaesthesia) .

Editor information

Editors and Affiliations

  1. Department of Urology, Muljibhai Patel Urological Hospital, Nadiad, Gujarat, India

    Mahesh R. Desai

  2. Department of Urology, Muljibhai Patel Urological Hospital, Nadiad, Gujarat, India

    Arvind P. Ganpule

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer Nature Singapore Pte Ltd.

About this chapter

Cite this chapter

Prajapati, D., Mistry, D., Patel, M., Jairath, A. (2017). Anaesthesia Concerns for Laparoscopic Donor Nephrectomy. In: Desai, M., Ganpule, A. (eds) Laparoscopic Donor Nephrectomy. Springer, Singapore. https://doi.org/10.1007/978-981-10-2849-6_4

Download citation

  • DOI: https://doi.org/10.1007/978-981-10-2849-6_4

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-10-2847-2

  • Online ISBN: 978-981-10-2849-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation