Live Donor Assisted Laparoscopic Nephrectomy for Renal Transplantation. Experience at the General Hospital for Diseases, Guatemalan Institute of Social Security.
DOI:
https://doi.org/10.54212/27068048.v1i1.119Keywords:
Laparoscopic Nephrectomy, Living Donor, Kidney transplant.Abstract
Introduction: The laparoscopic surgical procedures have become reasonable and appropriate alternative to open procedures in various urological diseases, which incorporated gradually make the difference to minimally invasive therapy. The cases presented are important because they offer many advantages over open surgery and shorter hospital stay, less postoperative pain, early labor incorporation, better aesthetics.
Patients and Methods: We present our experience in kidney transplant from a live donor kidney obtained by laparoscopic nephrectomy. The results of the first 15 procedures analyzed. The surgical technique is the transperitoneal laparoscopic nephrectomy. Three ports of 12 mm for surgery and a left subcostal incision of 6.5 cm are used.
Results: The survival of both donor and transplanted, is 100%. Survival of the transplanted graft is 97.6%. We have not reported any case of delay in the initial graft function.
Regarding the data, the number of procedures performed was twelve, the average age is 34 years and the male female ratio 1: 2 operative time ranges from 2 hours 20 minutes and 4 hours. Blood loss between 50 and 700 cc., not necessary to administer transfusions of blood products. Mean warm ischemia time was 3.2 minutes. The length of hospital stay between 2 and 5 days. No case was converted to open procedure was no immediate or late complications.
Conclusions: This paper was presented to the booming medical - surgical and clinical development involving.
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Copyright (c) 2016 Angel Aguilar, Estuardo Polanco, Erick Petersen
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