Scarpa E
Italy
Research Article
Bleeding Control and Vascular Preservation in Laparoscopic Living Donor Nephrectomy. Powered vs. Mechanical Vascular Stapler: A Possible Real Advantage
Author(s): Adani GL, Baccarani U, Cherchi V, Diaz J, Lorenzin D, Calandra S, Scarpa E, Tulissi P, Vallone C, Terrosu G, Montanaro D and Risaliti AAdani GL, Baccarani U, Cherchi V, Diaz J, Lorenzin D, Calandra S, Scarpa E, Tulissi P, Vallone C, Terrosu G, Montanaro D and Risaliti A
Kidney transplantation (KTx) is the treatment of choice for end stage renal disease (ESRD), improving both quality, and quantity of life in the recipients. Living Donor Kidney Transplantation (LDKT) is both related to a longer patient and graft survival, and laparoscopic donor nephrectomy (LDN) is the procedure of choice by most transplants Centers. Even though many techniques have been used to secure both the renal artery and vein during laparoscopic nephrectomy (Hem-o-lock clips, titanium clips or Vascular Stapler), ligation and division of the renal hilum remain two critical steps, entailing a certain risk of serious complications. Mechanical EndoGIA vs. iDrive™ Ultra Powered Stapling System (Autosuture; Covidien Surgical, Mansfield) have been compared. iDrive™ is a reusable, handled stapler computer-controlled stapling systems that runs on battery and can be used on mu.. View More»
