P Lindström1, M Häggman, J Wadström. 1. Department of Transplantation Surgery, Uppsala University Hospital, S-751 85 Uppsala, Sweden.
Abstract
BACKGROUND: Hand-assisted laparoscopy (HALS) was introduced to increase the safety of living donor nephrectomies. Herein we evaluate the first HALS living donor nephrectomies performed at our center. METHODS: Traditional laparoscopic nephrectomies (TLS) (n = 11) and HALS nephrectomies (n = 11) were included in the study. One patient from the TLS group was excluded because the operation was converted to open nephrectomy. We compared the operating times (OT) and warm ischemia times (WIT) for the two procedures and calculated the operating costs. RESULTS: Mean OT was 270 min in the TLS group and 197 min in the HALS group; thus, there was, a significant reduction of 27% with HALS. WIT was 297 sec for the TLS group and 214 sec for the HALS group, for a reduction of 28%. Costs were also lowered for HALS. CONCLUSION: In addition to shortening both OT and WIT, HALS enhances the safety margin of the procedure, especially during trocar placement. It is further helpful in preventing torsion of the kidney and controlling potential bleedings, as well as during vascular stapling and kidney removal.
BACKGROUND: Hand-assisted laparoscopy (HALS) was introduced to increase the safety of living donor nephrectomies. Herein we evaluate the first HALS living donor nephrectomies performed at our center. METHODS: Traditional laparoscopic nephrectomies (TLS) (n = 11) and HALS nephrectomies (n = 11) were included in the study. One patient from the TLS group was excluded because the operation was converted to open nephrectomy. We compared the operating times (OT) and warm ischemia times (WIT) for the two procedures and calculated the operating costs. RESULTS: Mean OT was 270 min in the TLS group and 197 min in the HALS group; thus, there was, a significant reduction of 27% with HALS. WIT was 297 sec for the TLS group and 214 sec for the HALS group, for a reduction of 28%. Costs were also lowered for HALS. CONCLUSION: In addition to shortening both OT and WIT, HALS enhances the safety margin of the procedure, especially during trocar placement. It is further helpful in preventing torsion of the kidney and controlling potential bleedings, as well as during vascular stapling and kidney removal.
Authors: Andreas Paul; Jürgen Treckmann; Anja Gallinat; Oliver Witzke; Udo Vester; Christoph E Broelsch Journal: Langenbecks Arch Surg Date: 2007-05-26 Impact factor: 3.445
Authors: Wujun Xue; Puxun Tian; Xiaoming Ding; Xiaoming Pan; Hang Yan; Jun Hou; Xinshun Feng; Heli Xiang; Xiaohui Tian; Li Ren; Jin Zheng; Shengbin Li Journal: Int Urol Nephrol Date: 2012-08-15 Impact factor: 2.370
Authors: K W Kercher; B T Heniford; B D Matthews; T I Smith; A E Lincourt; D H Hayes; L B Eskind; P B Irby; C M Teigland Journal: Surg Endosc Date: 2003-10-23 Impact factor: 4.584
Authors: Edward H Chin; David Hazzan; Daniel M Herron; John N Gaetano; Scott A Ames; Jonathan S Bromberg; Michael Edye Journal: Surg Endosc Date: 2006-12-16 Impact factor: 3.453
Authors: Yakup Kulu; Beat P Müller-Stich; Omid Ghamarnejad; Elias Khajeh; Georgios Polychronidis; Mohammad Golriz; Felix Nickel; Laura Benner; Philipp Knebel; Markus Diener; Christian Morath; Martin Zeier; Markus W Büchler; Arianeb Mehrabi Journal: Trials Date: 2018-07-13 Impact factor: 2.279