Journal article
Establishment of laparoscopic live donor nephrectomy in a porcine model: techniques and outcomes in 44 pigs
Journal of Surgical Research, Vol.222, pp.132-138
2018
Abstract
Background Laparoscopic live donor nephrectomy has replaced open donor nephrectomy in most patients due to numerous benefits. A live animal model is required to equip surgeons with the necessary skills to perform such a procedure with minimal risk of complications. The aim of this study was to establish the technique for laparoscopic live donor nephrectomy in a porcine (Sus scrofa) model. Materials and methods This study was approved by the Animal Ethics Committee of the university. Forty-four pigs underwent laparoscopic live donor nephrectomy. The left kidney was removed with a standardized four-port technique, with a small suprapubic incision to facilitate kidney delivery. Results All 44 procedures were performed successfully, with no intraoperative complications or conversion to open surgery. There was no apparent damage to any of the kidney grafts. The mean surgical time was 118.3 (±20.7) minutes. There was a small, but statistically insignificant, decrease in surgical time throughout the duration of the study. Several subjects had minor variations in the anatomy of the renal vasculature. Conclusions This series has developed and proven a training model for laparoscopic donor nephrectomy in pigs. This training model will allow surgeons to develop laparoscopic proficiency in a live donor, to be used in conjunction with human cadaveric training.
Details
- Title
- Establishment of laparoscopic live donor nephrectomy in a porcine model: techniques and outcomes in 44 pigs
- Authors/Creators
- M.E. Newman (Author/Creator)G.C. Musk (Author/Creator) - The University of Western AustraliaB. He (Author/Creator) - Sir Charles Gairdner Hospital
- Publication Details
- Journal of Surgical Research, Vol.222, pp.132-138
- Publisher
- Academic Press Inc.
- Identifiers
- 991005540791307891
- Copyright
- © 2017 Elsevier Inc.
- Murdoch Affiliation
- School of Veterinary and Life Sciences
- Language
- English
- Resource Type
- Journal article
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- Collaboration types
- Domestic collaboration
- Citation topics
- 1 Clinical & Life Sciences
- 1.157 Organ Donation & Transplantation
- 1.157.708 Organ Donation
- Web Of Science research areas
- Surgery
- ESI research areas
- Clinical Medicine