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Titolo:
Manually assisted laparoscopic bilateral nephrectomy for refractory hypertension in renal transplant recipients.
Autore:
Peyromaure, M; Cappele, O; Desgrandchamps, F; Bedrossian, J; Thervet, E; Legendre, C; Teillac, P; Le Duc, A;
Indirizzi:
Hop St Louis, Serv Urol, Paris, France Hop St Louis Paris FranceHop St Louis, Serv Urol, Paris, France Hop St Louis, Serv Nephrol, Paris, France Hop St Louis Paris FranceHop St Louis, Serv Nephrol, Paris, France
Titolo Testata:
PROGRES EN UROLOGIE
fascicolo: 3, volume: 11, anno: 2001,
pagine: 433 - 437
SICI:
1166-7087(200106)11:3<433:MALBNF>2.0.ZU;2-O
Fonte:
ISI
Lingua:
FRE
Soggetto:
LIVE DONOR NEPHRECTOMY;
Keywords:
nephrectomy; laparoscopy; hypertension; renal transplantation;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
24
Recensione:
Indirizzi per estratti:
Indirizzo: Peyromaure, M Hop Bichat, Serv Urol, 46 Rue Henri Huchard, F-75018 Paris, France Hop Bichat 46 Rue Henri Huchard Paris France F-75018 France
Citazione:
M. Peyromaure et al., "Manually assisted laparoscopic bilateral nephrectomy for refractory hypertension in renal transplant recipients.", PROG UROL, 11(3), 2001, pp. 433-437

Abstract

Objective: The authors report their preliminary experience of a manually assisted laparoscopic bilateral nephrectomy technique for refractory hypertension in renal transplant recipients. Material and Methods: Between April and May 1999, 2 laparoscopic bilateralnephrectomies were performed with manual assistance using the Hand-Port (R). One patient was operated 4 months before renal transplantation and the other was operated 13 months after renal transplantation. Both patients presented severe hypertension refractory to several antihypertensive drugs. An 8 cm midline supra-umbilical incision and 3 trocars were necessary. Onehand was introduced into the abdominal cavity via the Hand-Port (R) at thebeginning of the operation. The intra-abdominal hand assisted all phases of dissection of the kidney and control of vessels. The renal vessels and ureter were clipped The kidneys were removed by the intra-abdominal hand through the supra-umbilical incision. Results: Operating times were 200 min and130 min. Blood loss,formed The duration of was 220 ml. No conversion was per major postoperative analgesics was 3 days. Length of hospital stay was 6days and 7 days. There were no complications. Blood pressure was controlled by bilateral nephrectomy in both cases, with significant reduction of antihypertensive therapy. One year after the operation, both patients were satisfied with the aesthetic result. Conclusions: Laparoscopic bilateral nephrectomy manually assisted by the Hand-Port (R) is an alternative to open bilateral nephrectomy. Larger seriesare necessary to evaluate the morbidity of this technique.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 13/07/20 alle ore 07:07:22