Summary
单端口腹腔镜手术以来,腹腔镜技术是20年前引入的改变外科护理照顾,如什么标准。我们目前单端口供体肾切除手术使用的Gelpoint设备技术。我们已经成功地在100名患者进行这种手术。
Abstract
2007年,RANE一个小世界大会在腔内泌尿外科的肾功能非第一单端口肾切除。自那时以来,单端口手术切除术的使用已扩大到包括捐助肾切除术。在接下来的两年,该技术是通过对许多其他类型的肾切除,包括捐助者的肾切除术。我们目前我们对单端口供体肾切除手术使用的Gelpoint设备技术。我们有100多名患者成功地进行这种手术,并增加这方面的经验,我们的经验超过1000腹腔镜肾切除。有了适当的设备和技术,单端口捐助肾切除术可安全和有效地执行大多数活体。我们发现,我们的手术时间和最重要的是我们的移植结果没有显着改变与采用单端口捐助肾切除。我们认为,单端口供体肾切除术在活体捐献者的护理一步。
Protocol
Discussion
单端口供肾切除术是一种可行的下一步捐助肾切除术的演变。有时,在程序的步骤要完成的订单,由于单端口限制方一侧的回缩和移动视频讨论所固有的挑战。的美容效果非常好,患者恢复活动非常迅速。随着程序的发展,将开发新的工具,将成就更多,更复杂的任务,通过单一端口条目的助手。
Disclosures
国宝利泽和李国麟德尔皮佐都教单端口技术应用医疗赞助的课程。
Acknowledgments
我们要感谢支持这项工作通过和不受限制的教育资助,使我们生产的视频和发布应用医疗。
References
- Canes, D., Berger, A., Aron, M. Laparo-endoscopic single site (LESS) versus standard laparoscopic left donor nephrectomy: matched-pair comparison. Eur Urol. 57, 95-101 (2010).
- Skrekas, G., Papalois, V. E., Mitsis, M. Laparoscopic live donor nephrectomy: a step forward in kidney transplantation. JSLS. 7, 197-206 (2003).
- Giessing, M.
Laparoscopic living-donor nephrectomy. Nephrol Dial Transplant. 19, Suppl 4. iv36-iv40 (2004). - Eng, M. The role of laparoscopic donor nephrectomy in renal transplantation. Am Surg. 76, 349-353 (2010).
- Kommu, S. S., Kaouk, J. H., Rane, A. Laparo-endoscopic single-site surgery: preliminary advances in renal surgery. BJU Int. 103, 1034-1037 (2009).
- Canes, D., Desai, M. M., Aron, M. Transumbilical single-port surgery: evolution and current status. Eur Urol. 54, 1020-1029 (2008).
- Desai, M. M., Berger, A. K., Brandina, R. Laparoendoscopic single-site surgery: initial hundred patients. Urology. 74, 805-812 (2009).
- Ganpule, A. P., Dhawan, D. R., Kurien, A. Laparoendoscopic single-site donor nephrectomy: a single-center experience. Urology. 74, 1238-1240 (2009).
- Gill, I. S., Canes, D., Aron, M. Single port transumbilical (E-NOTES) donor nephrectomy. J Urol. 180, 637-641 (2008).
- Raman, J. D., Bensalah, K., Bagrodia, A. Laboratory and clinical development of single keyhole umbilical nephrectomy. Urology. 70, 1039-1042 (2007).
- Raybourn, J. H. 3rd, Rane, A., Sundaram, C. P. Laparoendoscopic single-site surgery for nephrectomy as a feasible alternative to traditional laparoscopy. Urology. 75, 100-103 (2010).
- Dindo, D., Demartines, N., Clavien, P. A. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg. 240, 205-213 (2004).
- Bargman, V., Sundaram, C. P., Bernie, J. Randomized trial of laparoscopic donor nephrectomy with and without hand assistance. J Endourol. 20, 717-722 (2006).
- El-Galley, R., Hood, N., Young, C. J. Donor nephrectomy: A comparison of techniques and results of open, hand assisted and full laparoscopic nephrectomy. J Urol. 171, 40-43 (2004).
- Velidedeoglu, E., Williams, N., Brayman, K. L. Comparison of open, laparoscopic, and hand-assisted approaches to live-donor nephrectomy. Transplantation. 74, 169-172 (2002).
- Raman, J. D., Bagrodia, A., Cadeddu, J. A. Single-incision, umbilical laparoscopic versus conventional laparoscopic nephrectomy: a comparison of perioperative outcomes and short-term measures of convalescence. Eur Urol. 55, 1198-1204 (2009).