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Laparoscopic-assisted live donor nephrectomy: A comparison of conventional and transvaginal routes for kidney extraction

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dc.contributor.authorGÜNER CAN, Meltem
dc.contributor.authorÖZCAN, Pınar
dc.contributor.authorHatipoglu, Sinan
dc.contributor.authorCavdaroglu, Ozgur
dc.contributor.authorHatipoglu, Filiz
dc.contributor.authorBERBER, İbrahim
dc.contributor.authorÇAKIR, Ülkem
dc.contributor.institutionauthorÖZCAN, PINAR
dc.date.accessioned2020-12-16T20:59:23Z
dc.date.available2020-12-16T20:59:23Z
dc.date.issued2015-10-22T00:00:00Z
dc.description.abstract© Ann Transplant, 2015.Backround: Laparoscopic approach has become the standard procedure for living donor nephrectomy in many transplant centers. Because the conventional approach results in cosmetic problems and pain during laparoscopic live donor nephrectomy, transvaginal extraction of an intact kidney has been recently introduced as a minimally invasive technique. Here, we aimed to investigate whether transvaginal extraction of an intact kidney during laparoscopic live donor nephrectomy is associated with decreased postoperative pain, nausea and vomiting, and morphine consumption. Material/Methods: This prospective data analysis included a total of 27 female donors who underwent laparoscopic removal of a single kidney for living donor nephrectomy through conventional or transvaginal route. Data collected included age, body mass index, ASA scores, histocompatibility, additional medical disorders, peri- and postoperative complications, postoperative pain scores with visual analogue pain scores (VAS), length of postoperative stay, morphine consumption, degree of nausea and vomiting, level of sedation, and pruritus. Results: No significant differences between the transvaginal and conventional groups were observed in VAS scores and morphine consumption at postoperative 1, 3, 6, 12, and 24 hours. Although not reaching statistical significance, according to analysis of morphine consumption, there was a trend toward decreasing analgesic requirements in the transvaginal group at postoperative 12 and 24 hours. There were no significant differences between the groups in terms of degree of nausea or vomiting, or length of postoperative hospital stay. Conclusions: We suggest that with a more desirable cosmetic result, transvaginal natural orifice transluminal endoscopic surgery-assisted living donor nephrectomy (TVNALDN) is a suitable new minimally invasive laparoscopic technique associated with reduced postoperative pain and analgesic requirements in select women.
dc.identifier.citationGÜNER CAN M., ÖZCAN P., Hatipoglu S., Cavdaroglu O., Hatipoglu F., BERBER İ., ÇAKIR Ü., -Laparoscopic-assisted live donor nephrectomy: A comparison of conventional and transvaginal routes for kidney extraction-, Annals of Transplantation, cilt.20, ss.634-638, 2015
dc.identifier.doi10.12659/aot.894697
dc.identifier.pubmed26489713
dc.identifier.scopus84946548374
dc.identifier.urihttp://hdl.handle.net/20.500.12645/27713
dc.identifier.wosWOS:000363687400001
dc.rightsinfo:eu-repo/semantics/openAccess
dc.titleLaparoscopic-assisted live donor nephrectomy: A comparison of conventional and transvaginal routes for kidney extraction
dc.typeArticle
dspace.entity.typePublication
local.avesis.id97642f1e-3c7b-4b31-ab3b-ae343c942007
local.publication.goal16 - Barış, Adalet ve Güçlü Kurumlar
local.publication.isinternational1
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relation.isAuthorOfPublication.latestForDiscoverya223be34-acbb-4ec3-8217-209ec916f373
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relation.isGoalOfPublication.latestForDiscovery7e7ce1dc-9556-4fa2-b604-c2ba181d38b9
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