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The feasibility of solo-surgeon living donor nephrectomy: initial experience using video-assisted minilaparotomy surgery.

Authors
 Yong Seung Lee  ;  Hwang Gyun Jeon  ;  Seung Ryeol Lee  ;  Woo Ju Jeong  ;  Seung Choul Yang  ;  Woong Kyu Han 
Citation
 Surgical Endoscopy , Vol.24(11) : 2755-2759, 2010 
Journal Title
 Surgical Endoscopy  
ISSN
 0930-2794 
Issue Date
2010
MeSH
Adult ; Female ; Humans ; Kidney Transplantation ; Laparotomy*/instrumentation ; Living Donors* ; Male ; Nephrectomy*/instrumentation ; Nephrectomy*/methods ; Tissue and Organ Harvesting/instrumentation ; Tissue and Organ Harvesting/methods* ; Video-Assisted Surgery*
Keywords
Living donor nephrectomy ; Solo-surgery ; Kidney transplantation
Abstract
BACKGROUND: Today, many kinds of surgery are being conducted without human assistants. Living donor nephrectomy (LDN) using video-assisted minilaparotomy surgery (VAM) has been performed by solo-surgeon using Unitrac® (Aesculap Surgical Instrument, Germany). We examined the results from VAM-solo-surgeon living donor nephrectomy (SLDN) and conventional VAM-human-assisted living donor nephrectomy (HLDN). METHODS: Between July 2007 and April 2008, 82 cases of VAM-LDN were performed by two surgeons. From these cases, we randomly assigned 35 cases to undergo solo-surgery (group I) and the other 47 cases to undergo surgery with one human assistant (group II). All VAM-LDN procedures were performed in the same manner. Only the roles of a first assistant were substituted by the Unitrac® in group I. We compared the perioperative and postoperative data, including operative time, estimated blood loss, and hospital stay, between the two groups. We also investigated cases that developed complications. RESULTS: There were no significant differences in the patient demographic data between the two groups (P > 0.05). The mean operative time was 201.9 ± 32.9 min in group I and 202.4 ± 48.3 min in group II (P = 0.954), whereas mean blood loss was 209.7 ± 167.3 ml in group I and 179.6 ± 87.8 ml in group II (P = 0.294). Postoperative hospital stay were 5.4 ± 1.1 days in group I and 5.5 ± 1.6 days in group II (P = 0.813). The incidence of perioperative complications was not significantly different between the two groups. CONCLUSIONS: Our study demonstrates that VAM-SLDN can be performed safely, is economically beneficial, and is comparable to VAM-HLDN in terms of postoperative outcomes.
Full Text
http://link.springer.com/article/10.1007%2Fs00464-010-1040-z
DOI
10.1007/s00464-010-1040-z
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
Yonsei Authors
Yang, Seung Choul(양승철)
Lee, Seung Ryeol(이승렬)
Lee, Yong Seung(이용승) ORCID logo https://orcid.org/0000-0003-3778-9888
Jeon, Hwang Gyun(전황균)
Jeong, Woo Ju(정우주)
Han, Woong Kyu(한웅규) ORCID logo https://orcid.org/0000-0002-2527-4046
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/103206
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