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Kidney Transplant II: Surgical Procedure

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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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A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...

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IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...

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Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma

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[Renal LESS surgery: Slight modification or surgical revolution?].

G Verhoest¹, J-J Patard, A Delreux

¹Service d'urologie et de transplantation rénale, hôpital Pontchaillou, CHU de Rennes, rue Henri-Le-Guilloux, 35033 Rennes cedex, France. gregory.verhoest@chu-rennes.fr

Progres En Urologie : Journal De L'Association Francaise D'Urologie Et De La Societe Francaise D'Urologie

|January 4, 2011

Summary

Laparoendoscopic single site (LESS) renal surgery is feasible for procedures like nephrectomies. Further research is needed to clarify its benefits over conventional laparoscopy.

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A Modified Surgical Technique for Kidney Transplantation in Mice

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Published on: July 22, 2022

Area of Science:

Minimally Invasive Surgery
Urologic Oncology
Laparoscopic Techniques

Context:

Laparoendoscopic single site (LESS) surgery is an evolving minimally invasive approach.
Renal surgery presents unique challenges for single-site access.
Initial experiences with LESS renal procedures are crucial for technique refinement.

Purpose:

To present the initial experience and outcomes of laparoendoscopic single site (LESS) renal surgery.
To evaluate the feasibility and safety of LESS for nephrectomies and cyst decortications.
To assess the preliminary results of LESS renal surgery in a small patient cohort.

Summary:

Nine nephrectomies and one cyst decortication were performed using LESS techniques in nine patients.
Procedures involved peri-umbilical trocar insertion and conventional laparoscopic instruments, with specimens retrieved in endoscopic bags.
Mean operative time was 149 minutes, with minimal blood loss and a short hospital stay; one major complication and one conversion occurred.

Impact:

LESS renal surgery is demonstrated as a feasible approach.
The study highlights the potential for reduced invasiveness in renal procedures.
Advancements in instrumentation are expected to further enhance LESS techniques and outcomes.