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• W2015300339 abstract "You have accessJournal of UrologyTransplantation, Urolithiasis & Hydronephrosis1 Apr 2012V1724 LAPAROSCOPIC LIVE RELATED RENAL TRANSPLANTATION- A FEASIBLE OPTION? George Abraham, Krishanu Das, Krishnamohan Ramaswami, Datson George, Jisha Abraham, and Oppukeril Thampan George AbrahamGeorge Abraham Kochi, India More articles by this author , Krishanu DasKrishanu Das Kochi, India More articles by this author , Krishnamohan RamaswamiKrishnamohan Ramaswami Kochi, India More articles by this author , Datson GeorgeDatson George Kochi, India More articles by this author , Jisha AbrahamJisha Abraham Kochi, India More articles by this author , and Oppukeril ThampanOppukeril Thampan Kochi, India More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.1683AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Laparoscopic donor nephrectomy is a standard of care approach for renal harvest for transplantation purposes. Contrastingly engraftment has been traditionally achieved through incisional approach. Thereby the allograft recipient is subjected to access related morbidity in addition to procedural morbidity. We evaluate the feasibility of renal transplantation through laparoscopic approach. METHODS Live related subjects planned for left donor nephrectomy with favorable vascular anatomy (single renal artery and vein) was selected. Organ harvest was performed through laparoscopic approach. During bench preparation three orientation stitches were made at apex of renal artery, vein and upper pole of graft to maintain the orientation during laparoscopic engraftment. A peritoneal flap was raised in the graft recipient to place the graft in extraperitoneal location. The graft was inserted through a Pfannenstiel incision. Vascular anastomosis was carried out followed by nonrefluxing ureteroneocystostomy. The peritoneal flap was reattached. Operative and postoperative parameters were recorded. RESULTS 3 patients underwent laparoscopic renal transplantation. Mean age was 32.33 years, mean BMI 22.07 kg/m2. Mean cold ischemia time was 55.33 minutes, mean blood loss was 150 milliliters and mean operation duration was 210 minutes. All patients demonstrated satisfactory graft function immediately. All patients exhibited early oral intake and diminished pain perception. Mean time to creatinine normalization was 5.33 days. Mean duration of hospital stay was 7.33 days. All patients revealed satisfactory vascular flow pattern in postoperative Doppler. No major operative or postoperative events were recorded. Mean creatinine of recipient 3 months post transplant was 1.2 milligrams/deciliter. CONCLUSIONS Although technically demanding, the preliminary results of laparoscopic renal transplantation are encouraging. The procedure offers a superior morbidity profile. The graft function is acceptable. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e694-e695 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information George Abraham Kochi, India More articles by this author Krishanu Das Kochi, India More articles by this author Krishnamohan Ramaswami Kochi, India More articles by this author Datson George Kochi, India More articles by this author Jisha Abraham Kochi, India More articles by this author Oppukeril Thampan Kochi, India More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ..." @default.
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• W2015300339 title "V1724 LAPAROSCOPIC LIVE RELATED RENAL TRANSPLANTATION- A FEASIBLE OPTION?" @default.
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