Case Report : Laparo-endoscopic single site (LESS) donor nephrectomy : Initial experience in Japan
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- Nomura Takeo
- Department of Urology, Oita University Faculty of Medicine
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- Takahashi Mika
- Department of Urology, Oita University Faculty of Medicine
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- Mizoguchi Shinsuke
- Department of Urology, Oita University Faculty of Medicine
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- Miyoshi Yuko
- Department of Urology, Oita University Faculty of Medicine
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- Sato Ryuta
- Department of Urology, Oita University Faculty of Medicine
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- Shibuya Tadamasa
- Department of Urology, Oita University Faculty of Medicine
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- Inoue Toru
- Department of Urology, Oita University Faculty of Medicine
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- Yamasaki Mutsushi
- Department of Urology, Oita University Faculty of Medicine
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- Hirai Kenichi
- Department of Urology, Oita University Faculty of Medicine
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- Ando Tadasuke
- Department of Urology, Oita University Faculty of Medicine
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- Mori Kenichi
- Department of Urology, Oita University Faculty of Medicine
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- Shin Toshitaka
- Department of Urology, Oita University Faculty of Medicine
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- Yuki Hideo
- Department of Urology, Oita University Faculty of Medicine
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- Sumino Yasuhiro
- Department of Urology, Oita University Faculty of Medicine
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- Sato Fuminori
- Department of Urology, Oita University Faculty of Medicine
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- Mimata Hiromitsu
- Department of Urology, Oita University Faculty of Medicine
書誌事項
- タイトル別名
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- Laparo-endoscopic single site(LESS)donornephrectomy:Initial experience in Japan
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We present here the initial 6 patients undergoing laparo-endoscopic single site(LESS)live donor nephrectomy(LESS-DN)in Japan. Three trocars were inserted into the abdominal cavity through a 4-cm periumbilical longitudinal incision without special devices, such as R-Port. No extra skin incisions and trocar placement were made. Donor kidney was placed into the extraction bag and was retrieved through para-umbilical incision without any extra skin incision and transferred for bench preparation. Following case 3, pararectal incision was made and Rap Disk system was used. LESS-DN was successful in all 6 patients. Mean operative time was 299.3 minutes, blood loss was 228.3 ml, warm ischemia time was 5.9 minutes and hospital stay was 14 days. There were no intraoperative and postoperative complications. Each allograft functioned immediately on transplantation except for one case of hyperacute rejection and mean recipient serum creatinine levels were 1.14mg/dl at 1 month and 1.15 mg/dl at 3 months, respectively. LESS-DN could be carried out safely using standard instruments without complications in this initial series. Although LESS-DN had longer warm ischemia time comparing previous reports on standard laparoscopic living DN(LLDN), early allograft function was comparable. LESS-DN has the potential to become a standard in the continuing evolution of minimally invasive surgery and should be evaluated in further randomized studies.
収録刊行物
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- Japanese Journal of Endourology
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Japanese Journal of Endourology 24 (2), 265-270, 2011
日本泌尿器内視鏡学会
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詳細情報 詳細情報について
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- CRID
- 1390001205509186176
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- NII論文ID
- 130005003573
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- NII書誌ID
- AA12524434
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- ISSN
- 21874700
- 21861889
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- NDL書誌ID
- 023686251
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- NDL
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可