Minimally Invasive Kidney Transplantation: The First Experience

摘要: Minimally invasive procedures in recent years have gained widespread acceptance. Within the field of transplantation, laparoscopic living donor nephrectomy (LLDN), requiring a 6- to 10-cm incision, is now considered optimal procedure. According MEDLINE searches, no minimally technique has been reported for kidney transplantation. Considering rapid evolution surgery during last decade, there little reason believe that transplantation future will be excluded from this development. A novel (MIKT) presented, restricted 7- 9-cm incision and minimal dissection/tissue trauma. The meticulously prepared on back table placed fitted lateral, retroperitoneal pouch. All three anastomoses are performed with its final "in situ" position, ureter reimplantation done by extravesical technique. Twenty-one patients transplanted MIKT followed prospective manner, along matched control group subjected conventional Our results indicate may executed safely quickly. Beneficial effects postoperative pain/analgesia, recovery, complications suggested first experience. technical solutions per se not unique. However, larger than one required LLDN. seems particularly attractive immunosuppressed population, even more so introduction potent antiproliferative drugs.