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Related Concept Videos

Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living donor...

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Related Experiment Video

Updated: Jul 3, 2026

Single Port Donor Nephrectomy
07:17

Single Port Donor Nephrectomy

Published on: March 12, 2011

"Deviceless" hand-assisted laparoscopic donor nephrectomy.

P Ditonno1, G Lucarelli, C Bettocchi

  • 1Department of Emergency and Organ Transplantation, Urology and Kidney Transplantation Unit, University of Bari, Bari, Italy. ditonno@urologia.uniba.it

Transplantation Proceedings
|August 5, 2008
PubMed
Summary
This summary is machine-generated.

A novel deviceless hand-assisted laparoscopic nephrectomy (DL-HLN) offers a cost-effective, minimally invasive approach for living kidney donors. This technique avoids disposables and results in smaller incisions with comparable outcomes.

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Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Transplant Surgery

Background:

  • Hand-assisted laparoscopic nephrectomy (HLN) combines laparoscopic techniques with surgeon assistance for renal dissection.
  • Living donor nephrectomy is crucial for kidney transplantation.

Purpose of the Study:

  • To describe the experience with a novel deviceless hand-assisted laparoscopic nephrectomy (DL-HLN) technique in living kidney donors.
  • To evaluate the feasibility, safety, and outcomes of DL-HLN.

Main Methods:

  • A deviceless HLN technique was performed in 14 living kidney donors.
  • Standard laparoscopic instruments were used with a midline or paramedian incision.
  • Pneumoperitoneum was maintained by fascial sealing around the surgeon's wrist.

Main Results:

  • Mean surgical time was 105 minutes with a mean estimated blood loss of 200 mL.
  • Mean warm ischemia time was 3.5 minutes, and mean hospital stay was 4 days.
  • One case required conversion to open surgery due to uncontrollable hemorrhage; recipient graft function was comparable to standard HLN.

Conclusions:

  • The deviceless HLN technique is a safe and effective alternative for living kidney donors.
  • This approach reduces costs by eliminating the need for specialized devices and disposables.
  • DL-HLN offers the benefits of minimally invasive surgery with smaller incisions.