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Video Assisted Minilaparotomy Surgery (VAMS) - Live Donor Nephrectomy: 239 Cases

Authors
 Koon Ho Rha  ;  Yu Seun Kim  ;  Seung Choul Yang  ;  Kiil Park  ;  Sung Joon Hong  ;  Young Joon Byun  ;  Soon Il Kim 
Citation
 YONSEI MEDICAL JOURNAL, Vol.45(6) : 1149-1154, 2004 
Journal Title
 YONSEI MEDICAL JOURNAL 
ISSN
 0513-5796 
Issue Date
2004
MeSH
Adult ; Female ; Humans ; Laparotomy/methods* ; Living Donors* ; Male ; Middle Aged ; Nephrectomy/methods* ; Retrospective Studies ; Surgery, Computer-Assisted*
Keywords
Minilaparotomy ; laparoscopy ; living donors ; nephrectomy
Abstract
We have devised a new surgical method of video-assisted minilaparotomy surgery-live donor nephrectomy (VAMS-LDN), which is a hybridized form of laparoscopic and open surgeries that combines the advantages of both. We present the findings of our series of 239 consecutive patients. Since 1993 we have performed 239 successful VAMS-LND. All 239 healthy kidney donors' characteristics and their postoperative courses were retrospectively reviewed and the data were compared to 95 open donor nephrectomies performed during the same period. The mean age and weight of the patients were 37.9 ± 11.0 years and 62.4 ± 7.9 kg, respectively. The mean operating time was 154 ± 41 minutes, which was similar to open donor nephrectomy but shorter than laparoscopic donor nephrectomy. There were no major intraoperative complications except two tears to lumbar veins which required transfusion. The mean warm ischemic time was 2.1 ± 0.7 minutes, which was equal to open donor nephrectomy. The patients experienced less postoperative pain and recovered quicker than the open donor nephrectomy patients. VAMS-LDN is a safe and minimally invasive technique for live donor nephrectomy, incorporating advantages of both conventional open and laparoscopic methods. We suggest that VAMS-LDN is a viable option for living donor kidney transplantation.
Files in This Item:
T200401445.pdf Download
DOI
10.3349/ymj.2004.45.6.1149
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Yu Seun(김유선) ORCID logo https://orcid.org/0000-0002-5105-1567
Rha, Koon Ho(나군호) ORCID logo https://orcid.org/0000-0001-8588-7584
Yang, Seung Choul(양승철)
Hong, Sung Joon(홍성준) ORCID logo https://orcid.org/0000-0001-9869-065X
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/112580
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