Laparoscopic Living Donor Nephrectomy at a Nigerian Kidney Transplant Center

Uzodimma Onwuasoanya; Olalekan Olatise; Rajesh Agrawal; Hyginus Ekwuazi; Brown Uyobong; Paul Olorunfemi; Williams Rex-ogbuku; Isaac Odunfa; Buniyamin Musa

Autores

Uzodimma Onwuasoanya Zenith Medical and Kidney Center – Department of Surgery https://orcid.org/0000-0002-6428-4618
Olalekan Olatise Zenith Medical and Kidney Center - Departamento de Medicina, Abuja, Nigéria. https://orcid.org/0000-0002-3349-8197
Rajesh Agrawal National Kidney Hospital - Departamento de Cirurgia), SAS Nagar, Jalandhar, Índia. https://orcid.org/0009-0004-9422-7747
Hyginus Ekwuazi Zenith Medical and Kidney Center - Departamento de Cirurgia, Abuja, Nigéria. https://orcid.org/0000-0001-8082-3485
Brown Uyobong Zenith Medical and Kidney Center - Departamento de Cirurgia, Abuja, Nigéria. https://orcid.org/0009-0006-8395-3764
Paul Olorunfemi Zenith Medical and Kidney Center - Departamento de Cirurgia https://orcid.org/0009-0005-3416-0816
Williams Rex-ogbuku Zenith Medical and Kidney Center - Departamento de Cirurgia https://orcid.org/0009-0005-7559-9067
Isaac Odunfa Zenith Medical and Kidney Center - Departamento de Cirurgia https://orcid.org/0009-0004-8924-2723
Buniyamin Musa Zenith Medical and Kidney Center - Departamento de Cirurgia, Abuja, Nigéria. https://orcid.org/0009-0006-0561-4097

Palavras-chave:

Laparoscopia, Nefrectomia, Doador, Cirurgia

Resumo

O transplante renal é a melhor opção de tratamento para pacientes com doença renal terminal, com melhores taxas de sobrevida. A nefrectomia laparoscópica do doador, um avanço cirúrgico da nefrectomia aberta do doador, foi realizada pela primeira vez em 1995, e demonstrou apresentar melhor resultado estético, menor tempo de hospitalização e qualidade semelhante do aloenxerto quando comparado aos obtidos por nefrectomia aberta do doador. Iniciamos a nefrectomia laparoscópica do doador em 2022 no Zenith Medical and Kidney Center, em Abuja, Nigéria, e apresentamos aqui a série de casos dos três pacientes operados até o momento. A nefrectomia laparoscópica do doador é um procedimento cirúrgico bem-vindo, com maior satisfação do paciente após a cirurgia e melhor resultado estético. A função renal após a cirurgia do receptor também é satisfatória.

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Referências

1. Guler S, Cimen S, Hurton S, Molinari M. Risks and benefits of early catheter removal after renal transplantation. Transplant Proc, 2015;47:2855-9. https://doi.org/10.1016/j.transproceed.2015.10.032

2. Cimen S, Guler S, Alwayn I, Lawen J, Kiberd B. Correlation of surgical times with laparoscopic live donor kidney transplant outcomes. Open J Organ Transpl Surg, 2013; 3: 68-72. https://doi.org/10.4236/ojots.2013.34014

3. Ratner LE, Ciseck LJ, Moore RG, Cigarrua FG, Kaufman HS, Kavoussi LR. Laparoscopic live donor nephrectomy. Transplantation. 1995; 60:1047-9. Available at: https://pubmed.ncbi.nlm.nih.gov/7491680/

4. Ratner LE, Kavoussi LR, Sroka M, Hiller J, Weber R, Schulam PG, et al. Laparoscopic assisted live donor nephrectomy A comparison with the open approach. Transplantation. 1997; 63: 229-33. Available at: https://journals.lww.com/transplantjournal/abstract/1997/01270/laparoscopic_assisted_live_donor_nephrectomy___a.9.aspx

5. Ratner LE, Hiller J, Sroka M, Weber R, Sikorsky I, Montgomery RA, et al. Laparoscopic live donor nephrectomy removes disincentives to live donation. Transplant Proc, 1997; 29: 3402. https://doi.org/10.1016/S0041-1345(97)00955-X

6. Ratner LE, Kavoussi LR, Schulam PG, Bender JS, Magnuson TH, Montgomery R. Comparison of laparoscopic live donor nephrectomy versus the standard open approach. Transplant Proc, 1997; 29: 138. https://doi.org/10.1016/S0041-1345(96)00037-1

7. Flowers JC, Jacobs S, Cho E, Morton A, Rosenberger WF, Evans D, et al. Comparison of open and laparoscopic live donor nephrectomy. Ann Surg. 1997; 226:483-90. Available at: https://journals.lww.com/annalsofsurgery/abstract/1997/10000/comparison_of_open_and_laparoscopic_live_donor.9.aspx

8. Leow CK. Comment on “laparoscopic-assisted live donor nephrectomy: a comparison with the open approach.” Transplantation. 1997; 64: 1222. Available at: https://journals.lww.com/transplantjournal/fulltext/1997/10270/comment_on__laparoscopic_assisted_live_donor.30.aspx

9. Harman PK, Kron IL, Mclachlan HD, Freedlender AE, Nolan SP. Elevated intra-abdominal pressure and renal function. Ann Surg, 1982; 196: 594. https://doi.org/10.1097/00000658-198211000-00015

10. London E, Neuhaus A, Ho H, Wolfe B, Rudich S, Perez R. Beneficial effect of volume expansion on the altered renal hemodynamics of prolonged pneumoperitoneum 24th Annual Scientific Meeting of the American Society of Transplant Surgeons; 1998; Chicago, IL.

11. Kirsch AJ, Kayton ML, Hensle TW, Olsson CA, Chang DT, Sawczuk IS. Renal effects of CO2 insufflation: oliguria and renal dysfunction in a rat pneumoperitoneum model. Urology. 1994; 43: 453. Available at: https://www.sciencedirect.com/science/article/abs/pii/0090429594902305

12. Shoskes DA, Parfrey NA, Hauoran PF. Increased major histocompatibility complex antigen expression in unilateral ischaemic acute tubular necrosis in the mouse. Transplantation. 1990; 49: 201. https://doi.org/10.1097/00007890-199001000-00045

13. Ibrahim S, Jakobs F, Zukin Y, Enriquez D, Holt D, Baldwin W, et al. Immunohistochemical manifestations of unilateral kidney ischaemia. Clin Transpl, 1996; 10: 646. Available at: https://pubmed.ncbi.nlm.nih.gov/8996759/