PMID: 16519824Mar 8, 2006Paper

A cost-effective technique for pure laparoscopic live donor nephrectomy

International Braz J Urol : Official Journal of the Brazilian Society of Urology
Tibério M SiqueiraSami Arap

Abstract

Compare two different techniques for laparoscopic live donor nephrectomy (LDN), related to the operative costs and learning curve. Between April/2000 and October/2003, 61 patients were submitted to LDN in 2 different reference centers in kidney transplantation. At center A (CA), 11 patients were operated by a pure transperitoneal approach, using Hem-O-Lok clips for the renal pedicle control and the specimens were retrieved manually, without using endobags. At center B (CB), 50 patients were also operated by a pure transperitoneal approach, but the renal pedicles were controlled with endo-GIA appliers and the specimens were retrieved using endobags. Operative time (231 +/- 39 min vs. 179 +/- 30 min; p < 0.000), warm ischemia time (5.85 +/- 2.85 min vs. 3.84 +/- 3.84 min; p = 0.002) and blood loss (214 +/- 98 mL vs. 141 +/- 82 mL; p = 0.02) were statistically better in CB, when compared to CA. Discharge time was similar in both centers. One major complication was observed in both centers, leading to an open conversion in CA (9.1%). One donor death occurred in CB (2%). Regarding the recipients, no statistical difference was observed in all parameters analyzed. There was an economy of US$1.440 in each procedure performed in CA, whe...Continue Reading

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Citations

Sep 1, 2012·Environmental Science & Technology·Michaela ZeinerGerhard Stingeder
Dec 12, 2012·Journal of Agricultural and Food Chemistry·Jimena BravoConcepción Cid
Apr 13, 2013·Journal of Agricultural and Food Chemistry·Alessia PanusaRita Petrucci
Nov 29, 2007·Journal of Endourology·Nasser SimforooshAhmad Javaherforooshzadeh
May 26, 2007·Transplantation Proceedings·K GhoddousiM T Hollisaaz
Sep 27, 2005·Transplantation Proceedings·G MaioneG Civati
Aug 2, 2018·Jornal brasileiro de pneumologia : publicaça̋o oficial da Sociedade Brasileira de Pneumologia e Tisilogia·Wemerson José Corrêa de OliveiraVictor Francisco Figueiredo Rocha Soares E Silva
Nov 12, 2014·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Christopher M Foglia, Stuart Blackwood

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