Full Description
This book explains the development of various laparoscopic donor nephrectomy (LDN) techniques, which can be performed via the retroperitoneal or the transperitoneal approach. It provides a step-by-step explanation of LDN, including details of intricacies such as port positioning, dissection steps, securing the hilum and retrieval. It also reviews new techniques like robotic donor nephrectomy and single-port donor nephrectomy. Lastly, it explores the non-technical but equally important issues of donor work-up and legal and social aspects.
LDN is a unique surgical procedure in which the surgeon operates on an individual who is not a patient but someone donating out of altruistic motives, and it has to be "zero error" for the safety of the graft, donor and the recipient. This handbook is a valuable resource for urologists, general and transplant surgeons as well as anesthesiologists and medical social workers working in the field.
Contents
1. The evolution of laparoscopic donor nephrectomy. Is it a gold standard?.- 2. General and urologic evaluation for a suitable living donor nephrectomy.- 3. Psychological and legal issues with laparoscopic donor nephrectomy.- 4. Anesthesia preparation during laparoscopic donor nephrectomy.- 5. Left side laparoscopic donor nephrectomy MRD.- 6. Right side laparoscopic donor nephrectomy.- 7. The hilar control: staplers/clips or otherwise.- 8. Retroperitoneal laparoscopic donor nephrectomy.- 9. "The LESS approach" in laparoscopic donor nephrectomy.- 10. Robotic-assisted donor nephrectomy.- 11. Extraction incisions for laparoscopic donor nephrectomy.- 12. Trouble shooting in laparoscopic donor nephrectomy.- 13. Open donor nephrectomy: Indications, technical aspects in the era of minimally invasive Surgery.
