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Three-dimensional laparoscopy for living-donor nephrectomy with vaginal extraction: The first case
Xavier Gamé1, Mouath Binhazzaa1, Michel Soulié1
1Département d'Urologie, Transplantation Rénale et Andrologie, CHU Rangueil, Toulouse, France.
International Journal of Surgery Case Reports
|April 5, 2017
Summary
This study introduces three-dimensional (3D) laparoscopy for living donor nephrectomy with vaginal extraction, demonstrating its feasibility. This advanced technique offers improved visualization and accuracy, potentially setting a new standard for kidney donation procedures.
Area of Science:
- Surgical Innovation
- Minimally Invasive Surgery
- Nephrology
Background:
- Two-dimensional laparoscopy is the standard for living donor nephrectomy.
- Vaginal extraction is an alternative method for specimen removal.
Purpose of the Study:
- To report the first case of living donor nephrectomy using three-dimensional (3D) laparoscopy with vaginal extraction.
- To evaluate the feasibility and benefits of 3D laparoscopy in this procedure.
Main Methods:
- A 66-year-old female underwent a left kidney donation using the HD S 3D column (Karl Storz).
- Preoperative CT confirmed a single left renal artery.
- The procedure involved vaginal extraction of the kidney.
Main Results:
- The surgery had a warm ischemic time of 2 minutes 20 seconds and an operative time of 200 minutes.
- No blood loss or intraoperative/postoperative complications were reported.
- 3D laparoscopy provided enhanced depth perception, improved plane definition, and accurate dissection.
Conclusions:
- Three-dimensional laparoscopy is feasible for living donor nephrectomy with vaginal extraction.
- The technology offers potential advantages including reduced operative times.
- This approach may represent a new standard of care for kidney donation.