COMPARATIVE ANALYSIS OF DONOR NEPHRECTOMY PERFORMED BY OPEN AND VARIOUS MODIFICATIONS OF LAPAROSCOPIC ACCESS
The aim of this study was to evaluate our experience on laparoscopic living donor nephrectomy (LDN). During the last 1,5 years we have gradually expanded the use of minimally invasive LDN with various techniques: strictly laparoscopic and hand-assisted laparoscopic. This comparative study is based o...
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Format: | Article |
Language: | Russian |
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Federal Research Center of Transplantology and Artificial Organs named after V.I.Shumakov
2011-06-01
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Series: | Vestnik Transplantologii i Iskusstvennyh Organov |
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Online Access: | https://journal.transpl.ru/vtio/article/view/353 |
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author | S. V. Gautier Y. G. Moysyuk O. E. Lutcevich E. A. Gallyamov A. S. Efimkin M. N. Kornilov A. V. Sharshatkin |
author_facet | S. V. Gautier Y. G. Moysyuk O. E. Lutcevich E. A. Gallyamov A. S. Efimkin M. N. Kornilov A. V. Sharshatkin |
author_sort | S. V. Gautier |
collection | DOAJ |
description | The aim of this study was to evaluate our experience on laparoscopic living donor nephrectomy (LDN). During the last 1,5 years we have gradually expanded the use of minimally invasive LDN with various techniques: strictly laparoscopic and hand-assisted laparoscopic. This comparative study is based on 250 conventional open LDN and 61 laparoscopic LDN. Minimally invasive hand-assisted technique was shown to be associated with a significantly lower risk of major complications and intraoperative incidents, as well as reduced warm ische- mia and operative time. There was no negative impact on recipient’s results. In our opinion, the introduction of hand-assisted technique is probably the most significant single factor for improved results, although accumulated experience and developments in equipment will contribute. Improvements in surgical outcomes following donor nephrectomy may enhance living donor programmes. |
first_indexed | 2024-04-10T00:53:19Z |
format | Article |
id | doaj.art-b4e762a3a575412083c7480cd6e70bad |
institution | Directory Open Access Journal |
issn | 1995-1191 |
language | Russian |
last_indexed | 2024-04-10T00:53:19Z |
publishDate | 2011-06-01 |
publisher | Federal Research Center of Transplantology and Artificial Organs named after V.I.Shumakov |
record_format | Article |
series | Vestnik Transplantologii i Iskusstvennyh Organov |
spelling | doaj.art-b4e762a3a575412083c7480cd6e70bad2023-03-13T10:37:21ZrusFederal Research Center of Transplantology and Artificial Organs named after V.I.ShumakovVestnik Transplantologii i Iskusstvennyh Organov1995-11912011-06-0113161610.15825/1995-1191-2011-1-6-16296COMPARATIVE ANALYSIS OF DONOR NEPHRECTOMY PERFORMED BY OPEN AND VARIOUS MODIFICATIONS OF LAPAROSCOPIC ACCESSS. V. Gautier0Y. G. Moysyuk1O. E. Lutcevich2E. A. Gallyamov3A. S. Efimkin4M. N. Kornilov5A. V. Sharshatkin6Academician V.I. Shumakov Federal Research Center of Transplantology and Artificial Organs, MoscowAcademician V.I. Shumakov Federal Research Center of Transplantology and Artificial Organs, MoscowFaculty Surgical Department No 1, Moscow State Medical-Dentistry University, MoscowAcademician V.I. Shumakov Federal Research Center of Transplantology and Artificial Organs, Moscow Faculty Surgical Department No 1, Moscow State Medical-Dentistry University, MoscowAcademician V.I. Shumakov Federal Research Center of Transplantology and Artificial Organs, MoscowAcademician V.I. Shumakov Federal Research Center of Transplantology and Artificial Organs, MoscowAcademician V.I. Shumakov Federal Research Center of Transplantology and Artificial Organs, MoscowThe aim of this study was to evaluate our experience on laparoscopic living donor nephrectomy (LDN). During the last 1,5 years we have gradually expanded the use of minimally invasive LDN with various techniques: strictly laparoscopic and hand-assisted laparoscopic. This comparative study is based on 250 conventional open LDN and 61 laparoscopic LDN. Minimally invasive hand-assisted technique was shown to be associated with a significantly lower risk of major complications and intraoperative incidents, as well as reduced warm ische- mia and operative time. There was no negative impact on recipient’s results. In our opinion, the introduction of hand-assisted technique is probably the most significant single factor for improved results, although accumulated experience and developments in equipment will contribute. Improvements in surgical outcomes following donor nephrectomy may enhance living donor programmes.https://journal.transpl.ru/vtio/article/view/353living donor nephrectomy (ldn)laparoscopyhand-assistance |
spellingShingle | S. V. Gautier Y. G. Moysyuk O. E. Lutcevich E. A. Gallyamov A. S. Efimkin M. N. Kornilov A. V. Sharshatkin COMPARATIVE ANALYSIS OF DONOR NEPHRECTOMY PERFORMED BY OPEN AND VARIOUS MODIFICATIONS OF LAPAROSCOPIC ACCESS Vestnik Transplantologii i Iskusstvennyh Organov living donor nephrectomy (ldn) laparoscopy hand-assistance |
title | COMPARATIVE ANALYSIS OF DONOR NEPHRECTOMY PERFORMED BY OPEN AND VARIOUS MODIFICATIONS OF LAPAROSCOPIC ACCESS |
title_full | COMPARATIVE ANALYSIS OF DONOR NEPHRECTOMY PERFORMED BY OPEN AND VARIOUS MODIFICATIONS OF LAPAROSCOPIC ACCESS |
title_fullStr | COMPARATIVE ANALYSIS OF DONOR NEPHRECTOMY PERFORMED BY OPEN AND VARIOUS MODIFICATIONS OF LAPAROSCOPIC ACCESS |
title_full_unstemmed | COMPARATIVE ANALYSIS OF DONOR NEPHRECTOMY PERFORMED BY OPEN AND VARIOUS MODIFICATIONS OF LAPAROSCOPIC ACCESS |
title_short | COMPARATIVE ANALYSIS OF DONOR NEPHRECTOMY PERFORMED BY OPEN AND VARIOUS MODIFICATIONS OF LAPAROSCOPIC ACCESS |
title_sort | comparative analysis of donor nephrectomy performed by open and various modifications of laparoscopic access |
topic | living donor nephrectomy (ldn) laparoscopy hand-assistance |
url | https://journal.transpl.ru/vtio/article/view/353 |
work_keys_str_mv | AT svgautier comparativeanalysisofdonornephrectomyperformedbyopenandvariousmodificationsoflaparoscopicaccess AT ygmoysyuk comparativeanalysisofdonornephrectomyperformedbyopenandvariousmodificationsoflaparoscopicaccess AT oelutcevich comparativeanalysisofdonornephrectomyperformedbyopenandvariousmodificationsoflaparoscopicaccess AT eagallyamov comparativeanalysisofdonornephrectomyperformedbyopenandvariousmodificationsoflaparoscopicaccess AT asefimkin comparativeanalysisofdonornephrectomyperformedbyopenandvariousmodificationsoflaparoscopicaccess AT mnkornilov comparativeanalysisofdonornephrectomyperformedbyopenandvariousmodificationsoflaparoscopicaccess AT avsharshatkin comparativeanalysisofdonornephrectomyperformedbyopenandvariousmodificationsoflaparoscopicaccess |