Deviceless Low-Pressure Operation; A Cost-Effective Way to Reduce CO(2)-Induced Barotrauma During Hand-Assisted Laparoscopic Donor Nephrectomy

dc.contributor.author	Kovacs JB
dc.contributor.author	Branstetter G
dc.contributor.author	Piros László
dc.contributor.author	Deák Pál Ákos
dc.date.accessioned	2015-01-14T13:21:29Z
dc.date.available	2015-01-14T13:21:29Z
dc.date.issued	2012
dc.identifier.citation	pagination=2136-2138; journalVolume=44; journalIssueNumber=7; journalTitle=TRANSPLANTATION PROCEEDINGS;
dc.identifier.uri	http://repo.lib.semmelweis.hu//handle/123456789/951
dc.identifier.uri	doi:10.1016/j.transproceed.2012.07.100
dc.description.abstract	Between March 2008 and March 2011, hand-assisted laparoscopic donor nephrectomles were performed on 70 patients. Following the first 26 cases undertaken based on guidelines in the literature, we modified the procedure to avoid barotrauma to the kidney caused by the usual 12-13 mm Hg CO(2) pneumoperitoneum or pneumoretroperitoneum. The perirenal CO(2) pressure, therefore, was decreased to 8 mm Hg from the beginning of the surgery; the operation was performed without using a handport. Our early experience with the modified technique suggested that the safety and duration of the procedure were not affected but the incidence of delayed graft function due to barotrauma was decreased, a cost-effective improvement.
dc.relation.ispartof	urn:issn:0041-1345
dc.title	Deviceless Low-Pressure Operation; A Cost-Effective Way to Reduce CO(2)-Induced Barotrauma During Hand-Assisted Laparoscopic Donor Nephrectomy
dc.type	Journal Article
dc.date.updated	2015-01-08T08:56:57Z
dc.language.rfc3066	en
dc.identifier.mtmt	2072621
dc.identifier.wos	000309148300094
dc.identifier.pubmed	22974935
dc.contributor.department	SE/ÁOK/K/Transzplantációs és Sebészeti Klinika
dc.contributor.institution	Semmelweis Egyetem