Paper Information

Title: 

VASCULAR CLAMPING BEFOR URETERAL CUTTING IN LAPAROSCOPIC DONOR NEPHRECTOMY (MODIFICATION FOR FASILITATING SURGERY)

Type: PAPER
Author(s): BASIRI ABBAS*,SIMFOROOSH NASSER,MOSAPOUR ESMAIL,MAGHOSUDI ROBAB
 
 *
 
Name of Seminar: CONGREH ANJOMAN UROLOGY IRAN
Type of Seminar:  CONGRESS
Sponsor:  ANJOMAN OROLOGY
Date:  2005Volume 8
 
 
Abstract: 

PROPOSE: LAPAROSCOPIC DONOR NEPHRECTOMY IN RECENT YEARS IS DONE IN MANY CENTERS. IN CLASSIC TECHNIQUE, BEFORE CLAMPING THE PEDICULE, THE URETER IS CUT FOR EVALUATION URINARY FLOW, BUT THIS PRODUCES MULTIPLE PROBLEMS FOR PEDICULE CLAMPING AND CUTTING. (THE PURPOSE OF THIS ARTICLE IS TO SHOW THAT IT THE RENAL CAPSULE IS TENSE AND THE URETERAL PERISTALTISM IS ACTIVE, PRELIMINARY PEDICULE CLAMPING HAS THE SOME RESULTS).
METHODS & MATERIALS: ALL 32 FILES (16 FILES OF STUDY GROUP AND 16 FILES FOR CONTROL GROUP) SELECTED RANDOMLY. IN STUDY GROUP, THE NEW TECHNIQUE (PRELIMINARY PEDICULE CLAMPING) WAS DONE. IN CONTROL GROUP CLASSIC LAPAROSCOPIC DONOR NEPHRECTOMY WAS DONE. THE FILES OF THEIR RECIPIENTS WERE REVIEWED AND EARLY GRAFT FUNCTION WAS EVALUATED WIT CONTROL OF SERUM CREATININE BEFORE OPERATION AND IN DAYS ONE AND SEVEN POST OPERATION IN RECIPIENTS.
RESULTS: IN CONTROL GROUP PREOPERATION MEAN CREATININE WAS 9.9 MG/DL AND MEAN CREATININE IN THE DAYS 1 AND 7 WAS 3.4 MG/DL AND 1.4 MG/DL. IN STUDY GROUP PREOPERATION MEAN CREATININE WAS 11.5 MG/DL AND MEAN CREATININE IN THE DAYS 1 AND 7 POST OPERATION WAS 3.4 MG/DL AND 1.07 MG/DL. IN EVERY GROUP ONE CASE OF GRAFT NEPHRECTOMY WAS DONE DUE TO UNCONTROLLED ACUTE REJECTION IN THIRD WEEK. ATN WASN' T SEEN IN BOTH GROUPS.
DISCUSSION & CONCLUSION: IF THE SURGEON FELLS THAT THE DIURESIS IS OPTIMUM, HE CAN CLAMP AND CUT THE PEDICULE PRELIMINARY WITHOUT PROBLEM FOR GRAFT FUNCTION.

 
Keyword(s): LAPAROSCOPIC, DONOR, NEPHRECTOMY
 
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