How to Improve the Safety of Polymer Clips for Vascular Control during Laparoscopic Donor Nephrectomy

2007 ◽  
Vol 21 (11) ◽  
pp. 1319-1322 ◽  
Author(s):  
Nasser Simforoosh ◽  
Alireza Aminsharifi ◽  
Saeed Zand ◽  
Ahmad Javaherforooshzadeh
Keyword(s):  
Donor Nephrectomy ◽  
Vascular Control ◽  
Laparoscopic Donor Nephrectomy

scholarly journals Hilar control during laparoscopic donor nephrectomy: Practice patterns in Canada

2017 ◽  
Vol 11 (10) ◽  
pp. 321-4 ◽  
Author(s):  
Thomas B. McGregor ◽  
Premal Patel ◽  
Gabriel Chan ◽  
Alp Sener
Keyword(s):  
Renal Artery ◽  
Online Survey ◽  
Response Rate ◽  
Donor Nephrectomy ◽  
Vascular Control ◽  
Laparoscopic Donor Nephrectomy ◽  
Open Conversion ◽  
Device Malfunction ◽  
Poor Outcomes ◽  
Emergent Laparotomy

Introduction: In recent years, the method of vascular control during laparoscopic donor nephrectomy (LDN) has come under scrutiny due to catastrophic consequences of a device failure. This study sought to examine the surgical preferences of Canadian donor surgeons with regards to vascular control and their perception on the safety of these modalities. We also surveyed the experience with device malfunction and their subsequent management during LDN.Methods: An online survey was sent out to donor surgeons registered with the Canadian Society of Transplantation. Surveys were anonymous and voluntary. Descriptive statistics were used to analyze the collected responses. Recollection of the sequelae and outcomes from device malfunction were also queried.Results: Twenty-eight of 37 surgeons (76% response rate) responded to the survey. At least one surgeon from every institution in Canada performing LDN responded to the survey. Laparoscopic stapler is the most commonly used device for securing the renal artery (61%) and renal vein (67%). Overall, surgeons felt the stapler was the safest method of securing the renal artery. Stapler misfire and clip slippage were reported by eight (28.5%) and 1 2 (43%) surgeons, respectively. Most cases were salvageable: laparoscopically (30%), open conversion (30%), and by hand port (5%). Slippage of a plastic locking clip resulted in one emergent laparotomy on POD#1 and one stapler misfire was converted to open resulting in donor death.Conclusions: Although rare, hemorrhagic complications can occur from device malfunction resulting in poor outcomes for healthy volunteers undergoing LDN. Surgeons need to remain vigilant when selecting the appropriate modality for vascular control.

scholarly journals Safe vascular control in laparoscopic donor nephrectomy: An experience of more than 1400 cases

2016 ◽  
Vol 10 (4) ◽  
pp. 111 ◽  
Author(s):  
Sanjoy Kumar Sureka ◽  
Pankaj Gaur ◽  
Aneesh Srivastava ◽  
Rakesh Kapoor ◽  
M.S. Ansari ◽  
...  
Keyword(s):  
Donor Nephrectomy ◽  
Vascular Control ◽  
Laparoscopic Donor Nephrectomy

Methods of Vascular Control during Laparoscopic Donor Nephrectomy

2006 ◽  
Vol 20 (7) ◽  
pp. 467-470 ◽  
Author(s):  
Chandru P. Sundaram ◽  
Vladislav Bargman ◽  
Jonathan E. Bernie
Keyword(s):  
Donor Nephrectomy ◽  
Vascular Control ◽  
Laparoscopic Donor Nephrectomy

Techniques to optimize vascular control during laparoscopic donor nephrectomy

Urology ◽  
2003 ◽  
Vol 61 (1) ◽  
pp. 93-97 ◽  
Author(s):  
Maxwell V Meng ◽  
Chris E Freise ◽  
Sang-M.o Kang ◽  
Quan-Yang Duh ◽  
Marshall L Stoller
Keyword(s):  
Donor Nephrectomy ◽  
Vascular Control ◽  
Laparoscopic Donor Nephrectomy

Techniques of Vascular Control in Laparoscopic Donor Nephrectomy

2008 ◽  
Vol 40 (7) ◽  
pp. 2342-2344 ◽  
Author(s):  
K.-L. Liu ◽  
Y.-J. Chiang ◽  
H.-H. Wang ◽  
S.-H. Chu
Keyword(s):  
Donor Nephrectomy ◽  
Vascular Control ◽  
Laparoscopic Donor Nephrectomy

Clips Can be Safely Used for Vascular Control of the Renal Vessels During Laparoscopic Donor Nephrectomy

Urology ◽  
2021 ◽  
Vol 147 ◽  
pp. 150-154
Author(s):  
Michael Ordon ◽  
Robert J Sowerby ◽  
Daniela Ghiculete ◽  
Melody Djuimo ◽  
Tadeusz Kroczak ◽  
...  
Keyword(s):  
Donor Nephrectomy ◽  
Vascular Control ◽  
Laparoscopic Donor Nephrectomy ◽  
Renal Vessels
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