ISSN: 1305-3876
Hakkında: Özel sayılar şeklinde yayınlanır.
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Laparoscopic Donor Nephrectomy
Serdar DEĞER, MD,a Markus GIESSING, MD,a Jan ROIGAS, MD,a Stefan A. LOENING, MDa
aDepartment of Urology, Charité Campus Mitte, Charité University Medicine, GERMANY
Laparoscopic living donor nephrectomy (LDN) has the potential aim to increase the acceptance for kidney donation. Multiple modifications have been made to shorten the learning curve while at the same time guarantee the highest possible level of quality and safety for donor and recipient.
Today more than 200 centres worldwide perform LDN. Different surgical access sites like conventional laparoscopy (trans-or retroperitoneal), hand assistence, different vessel dissection approaches, donor organ delivery reflect the evolution of LDN. These techniques of the consecutive surgical steps led to minimise warm ischaemia and operating time while offering the donor a safe minimal invasive laparoscopic procedure.
LDN brought a new option into the field of living kidney donation. Within a few years LDN became standard approach in living kidney donation in many institutions. Surgeons, who are working in this field has to be trained permanently and well acquainted with the variations of the different LDN techniques and their respective advantages and disadvantages.Keywords: Transplantation; laparoscopy; nephrectomy; tissue donorsTurkiye Klinikleri J Surg Med Sci 2007, 3(4):59-61
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