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Hand-assisted Laparoscopic Left Donor Nephrectomy Without a Hand-assisted Device: Is it Possible?

Abstract：

BACKGROUND:Live donor nephrectomy is an important donor source. Donor nephrectomy can be performed by laparoscopy or hand-assisted laparoscopy. Different types of hand port devices can be used for assistance. In the literature there are few studies about hand-assisted laparoscopy without a hand port. In this study, we aimed to evaluate the impact of not using a hand port for hand-assisted laparoscopic donor nephrectomy for kidney transplantation. METHODS:Patients who were operated on for kidney donation between January 2011 and June 2018 evaluated retrospectively. The patients were divided into 2 groups: group A, on whom a hand port was used, and group B, whose surgeries did not involve a hand port. The groups were compared for sex, age, body mass index, amount of intraoperative bleeding, warm ischemia time, duration of surgery, perioperative complications, duration of hospital stay, and postoperative complications. RESULTS:There were 159 patients in group A and 146 patients in group B. There was no difference between the groups considering intraoperative bleeding, warm ischemia time, duration of surgery and postoperative early complications (P > .05 for all). CONCLUSION:Hand-assisted laparoscopic donor nephrectomy without a hand port can be considered an easy and effective method of laparoscopic nephrectomy.

journal_name

Transplant Proc

journal_title

Transplantation proceedings

authors

Karabay O,Tasci H,Hasbahceci M,Kadioglu H

doi

10.1016/j.transproceed.2019.07.016

subject

Has Abstract

pub_date

2019-12-01 00:00:00

pages

3351-3354

issue

10

eissn

0041-1345

issn

1873-2623

pii

S0041-1345(19)30499-3

journal_volume

51

pub_type

杂志文章

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