Hand-assisted laparoscopic surgery (HALS) for live donor nephrectomy is more time- and cost-effective than standard laparoscopic nephrectomy

Surgical Endoscopy
P LindströmJonas Wadström

Abstract

Hand-assisted laparoscopy (HALS) was introduced to increase the safety of living donor nephrectomies. Herein we evaluate the first HALS living donor nephrectomies performed at our center. Traditional laparoscopic nephrectomies (TLS) (n = 11) and HALS nephrectomies (n = 11) were included in the study. One patient from the TLS group was excluded because the operation was converted to open nephrectomy. We compared the operating times (OT) and warm ischemia times (WIT) for the two procedures and calculated the operating costs. Mean OT was 270 min in the TLS group and 197 min in the HALS group; thus, there was, a significant reduction of 27% with HALS. WIT was 297 sec for the TLS group and 214 sec for the HALS group, for a reduction of 28%. Costs were also lowered for HALS. In addition to shortening both OT and WIT, HALS enhances the safety margin of the procedure, especially during trocar placement. It is further helpful in preventing torsion of the kidney and controlling potential bleedings, as well as during vascular stapling and kidney removal.

Citations

Mar 22, 2007·Langenbeck's Archives of Surgery·Jens G BrockmannHeiner H Wolters
May 29, 2007·Langenbeck's Archives of Surgery·Andreas PaulChristoph E Broelsch
Mar 20, 2003·Transplantation Proceedings·J WadströmB-M Engström
Sep 2, 2003·Transplantation Proceedings·J Wadström
Jul 16, 2004·Journal of Endourology·J Stuart Wolf
Jul 16, 2004·Journal of Endourology·Patrick S Lowry, Stephen Y Nakada
Jul 16, 2004·Journal of Endourology·Freddy R Mendez-TorresRaju Thomas
Nov 11, 2006·Journal of Endourology·Vladislav BargmanWilliam Goggins
Aug 19, 2004·Transplantation·Rebecca L TooherGuy J Maddern
Jan 16, 2007·Transplantation·Constantinos KokkinosVassilios Papalois
Mar 21, 2009·Transplantation·Vida HamidiIvar Sønbø Kristiansen
Mar 6, 2010·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Mary Eng, Kadiyala Ravindra
Jul 31, 2012·Actas urologicas españolas·O RodríguezH Villavicencio
Aug 17, 2005·Transplant International : Official Journal of the European Society for Organ Transplantation·Markus GiessingSerdar Deger
Jun 21, 2005·BJU International·Abhay Rane, J Stuart Wolf
Oct 4, 2003·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·Christoph Troppmann, Richard V Perez
May 12, 2006·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·M H AndersenE Fosse
Dec 17, 2009·Transplant International : Official Journal of the European Society for Organ Transplantation·Leonienke F C DolsJan N M Ijzermans
Feb 28, 2003·Der Urologe. Ausg. A·M GiessingS A Loening
Nov 12, 2013·Scottish Medical Journal·F Hanif, M J Clancy
Nov 5, 2003·The British Journal of Surgery·A E HandschinP-A Clavien
Jun 26, 2007·Transplantation·David Wonderling, Elisabetta Fenu
Mar 29, 2006·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·J P J FronekM A Morsy
Mar 3, 2004·The British Journal of Surgery·S MaartenseW A Bemelman

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.