Abstract
Laparoscopic donor nephrectomy (LDN) is today considered the standard of care for live kidney harvest in transplantations. Generally those who are considered fit for an open donor nephrectomy will be able to withstand the surgery by laparoscopy. Traditionally right-sided donor kidney, multiple vessels, vessel anomalies and obesity have been considered as relative contraindications; however, with growing skills and practices, they have been rendered obsolete. In this chapter, we emphasize on the different methods of hilar control. We highlight the techniques, difficulties in hilar control and ways to increase the vein length particularly on the right side.
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References
Matas AJ, Payne WD, Sutherland DE, Humar A, Gruessner RW, Kandaswamy R, et al. 2,500 living donor kidney transplants: a single-center experience. Ann Surg. 2001;234(2):149–64.
Mendoza D, Newman RC, Albala D, Cohen MS, Tewari A, Lingeman J, et al. Laparoscopic complications in markedly obese urologic patients (a multi-institutional review). Urology. 1996;48(4):562–7.
Gupta N, Raina P, Kumar A. Laparoscopic donor nephrectomy. J Minim Access Surg. 2005;1(4):155–64.
Turk IA, Deger S, Davis JW, Giesing M, Fabrizio MD, Schönberger B, et al. Laparoscopic live donor right nephrectomy: a new technique with preservation of vascular length. J Urol. 2002;167(2 Pt 1):630–3.
Friedman AL, Peters TG, Jones KW, Boulware LE, Ratner LE. Fatal and nonfatal hemorrhagic complications of living kidney donation. Ann Surg. 2006;243(1):126–30.
Baumert H, Ballaro A, Arroyo C, Kaisary AV, Mulders PFA, Knipscheer BC. The use of polymer (Hem-o-lok) clips for management of the renal hilum during laparoscopic nephrectomy. Eur Urol. 2006;49(5):816–9.
Chueh S-CJ, Wang S-M, Lai M-K. Use of Hem-o-lok clips effectively lengthens renal vein during laparoscopic live donor nephrectomy. Transplant Proc. 2004;36(9):2623–4.
Maartense S, Heintjes RJ, Idu M, Bemelman FJ, Bemelman WA. Renal artery clip dislodgement during hand-assisted laparoscopic living donor nephrectomy. Surg Endosc. 2003;17(11):1851.
Ko EY, Castle EP, Desai PJ, Moss AA, Reddy KS, Mekeel KL, et al. Utility of the endovascular stapler for right-sided laparoscopic donor nephrectomy: a 7-year experience at Mayo Clinic. J Am Coll Surg. 2008;207(6):896–903.
Kapoor R, Singh KJ, Suri A, Dubey D, Mandhani A, Srivastava A, et al. Hem-o-lok clips for vascular control during laparoscopic ablative nephrectomy: a single-center experience. J Endourol. 2006;20(3):202–4.
Chan D, Bishoff JT, Ratner L, Kavoussi LR, Jarrett TW. Endovascular gastrointestinal stapler device malfunction during laparoscopic nephrectomy: early recognition and management. J Urol. 2000;164(2):319–21.
Hsi RS, Ojogho ON, Baldwin DD. Analysis of techniques to secure the renal hilum during laparoscopic donor nephrectomy: review of the FDA database. Urology. 2009;74(1):142–7.
Kadirkamanathan SS, Shelton JC, Hepworth CC, Laufer JG, Swain CP. A comparison of the strength of knots tied by hand and at laparoscopy. J Am Coll Surg. 1996;182(1):46–54.
Landman J, Kerbl K, Rehman J, Andreoni C, Humphrey PA, Collyer W, et al. Evaluation of a vessel sealing system, bipolar electrosurgery, harmonic scalpel, titanium clips, endoscopic gastrointestinal anastomosis vascular staples and sutures for arterial and venous ligation in a porcine model. J Urol. 2003;169(2):697–700.
Janetschek G, Bagheri F, Abdelmaksoud A, Biyani CS, Leeb K, Jeschke S. Ligation of the renal vein during laparoscopic nephrectomy: an effective and reliable method to replace vascular staplers. J Urol. 2003;170(4 Pt 1):1295–7.
Eswar C, Badillo FL. Vascular control of the renal pedicle using the hem-o-lok polymer ligating clip in 50 consecutive hand-assisted laparoscopic nephrectomies. J Endourol. 2004;18(5):459–61.
Gill IS, Uzzo RG, Hobart MG, Streem SB, Goldfarb DA, Noble MJ. Laparoscopic retroperitoneal live donor right nephrectomy for purposes of allotransplantation and autotransplantation. J Urol. 2000;164(5):1500–4.
Lee BR, Chow GK, Ratner LE, Kavoussi LR. Laparoscopic live donor nephrectomy: outcomes equivalent to open surgery. J Endourol. 2000;14(10):811. -819–820.
Kurukkal SN. Techniques to Secure Renal Hilum in Laparoscopic Donor Nephrectomy - REVIEW ARTICLES. World J Laparosc Surg SE - [Internet]. 2012; Available from: http://dx.doi.org/10.5005/jp-journals-10007-1143.
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Sivaraman, A., Bhat, A., Bhat, K.R.S. (2017). Hilar Control in Laparoscopic Donor Nephrectomy: Clips, Staplers and Other Methods. In: Desai, M., Ganpule, A. (eds) Laparoscopic Donor Nephrectomy. Springer, Singapore. https://doi.org/10.1007/978-981-10-2849-6_7
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DOI: https://doi.org/10.1007/978-981-10-2849-6_7
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