Video assisted minilaparotomy surgery (VAMS) - Live donor nephrectomy: 239 cases

Koon Ho Rha, Yu Seun Kim, Soon Il Kim, Young Joon Byun, Sung Joon Hong, Kiil Park, Seung Choul Yang

Research output: Contribution to journalReview article

10 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)1149-1154
Number of pages6
JournalYonsei medical journal
Volume45
Issue number6
DOIs
Publication statusPublished - 2004 Dec 31

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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