Robotic Donor Nephrectomy

Kidney transplantation from a living donor provides the best chance for successful renal replacement therapy. However patient’s safety remains of paramount importance and complications are unacceptable. Laparoscopic donor nephrectomy (LDN) has been proven to have a lower surgical mortality and morbidity as well as a lower blood loss, a shorter hospital stay, and a better cosmetic result compared to the open procedure. This has resulted in LDN being considered the standard in many centers. Robot-Assisted Laparoscopic Donor (RALD) nephrectomy is a new trend developed in the last decade. Robotic assistance is increasingly popular worldwide, because it offers optimal operative conditions to the urological surgeon and a shorter learning curve than the standard laparoscopy.

This book explains the development of various laparoscopic donor nephrectomy (LDN) techniques, which can be performed via the retroperitoneal or the transperitoneal approach. It provides a step-by-step explanation of LDN, including details of intricacies such as port positioning, dissection steps, securing the hilum and retrieval. It also reviews new techniques like robotic donor nephrectomy and single-port donor nephrectomy. Lastly, it explores the non-technical but equally important issues of donor work-up and legal and social aspects. LDN is a unique surgical procedure in which the surgeon operates on an individual who is not a patient but someone donating out of altruistic motives, and it has to be “zero error” for the safety of the graft, donor and the recipient. This handbook is a valuable resource for urologists, general and transplant surgeons as well as anesthesiologists and medical social workers working in the field.

This book is a practical guide to the laparoscopic and robotic surgery technique in urology. It includes 34 chapters in three sections, which are adrenal gland, kidney and ureter surgery, bladder and prostate surgery and lympadenectomy. This book covers all parts of laparoscopic and robotic urological surgery, including methods in patient selection, peri-operative management, step-by-step descriptions of specific techniques and complication avoidance. It is accompanied with over 800 illustrations and real-time capture figures. It also includes over 40 surgery videos with online access. Through the combination of texts, pictures and videos, it presents the surgical designing, surgical procedures and surgical techniques in panorama. This book is a good reference book for urologists who interested in these techniques.

This book outlines potential situations faced by those using laparoscopy and provides solutions for difficult conditions. Extensively and thoroughly written by experts in the field, Difficult Conditions in Laparoscopic Urologic Surgery enables the practising surgeon to confront and resolve dilemmas before even entering the operating theatre. In this book, every urologic procedure is described using a step-by-step sequence of events and the text is supplemented with numerous tips, illustrations, and high definition photographs depicting the main steps of the procedures. With a problem-oriented approach, Difficult Conditions in Laparoscopic Urologic Surgery is a valuable reference source for residents, fellows, and general urologists.

Challenges and Controversies in Kidney Transplantation highlights the most up-to-date strategies for successfully managing high-risk kidney transplant recipients, as well as detailed, innovative strategies to increase transplant opportunities for patients requiring kidney transplantation. The book is divided into two major sections; firstly, Maximizing Transplant Opportunities, and second, Considerations for Unique/High Risk Patient Populations focusing on management of select patient populations, such as children, the elderly, HIV, Hepatitis C positive patents, highly sensitized patients, and patients who develop post-transplant polyomavirus nephropathy. Surgical topics include Laparoendoscopic Single Site and Robotic Donor Nephrectomy as minimally invasive surgical procedures to increase living donation, and the use of Paediatric Donor Kidneys in deceased donor kidney transplantation. In addition, Challenges and Controversies in Kidney Transplantation also features discussion on the most difficult clinical management issues confronting Kidney Transplantation today, making it a relevant and essential reference for nephrologists, neurologists and residents. Key Points Concise and comprehensive guide to problems associated with kidney transplantation Full colour illustrations Authored by Sandip Kapur, Professor of Surgery at Weill Medical College – Cornell University, USA

Written in response to the increase of minimally invasive surgery in urology, this volume familiarizes urologists with the complications of laparoscopic and robotic urologic surgery. Various procedures are described, and the management of complications associated with each procedure are discussed.

Accompanying DVD-ROM, in pocket at front of v. 1, contains ... "video clips referenced in the text."--DVD-ROM label.

The book describes in detail the technical aspects of Living Donor Liver Transplantation (LDLT), the routine practice of the world renowned Liver Transplant Team at Hong Kong's Queen Mary Hospital, and our views on various issues of the operation. The thorough review on the history and technical procedures of LDLT and discussion on various aspects of the operation and its future perspectives will serve as a unique reference for surgeons, researchers, nurses, medical students, patients and laypersons seeking information on LDLT. This latest edition offers updated operative results from our center and the latest modifications of the technique. With contributions from a leading microvascular surgeon, a critical care clinician, a psychiatrist, and two anesthetists from the same liver transplant team, the LDLT experience at Queen Mary Hospital is depicted in an even greater extent. Contents:HistoryDonor EvaluationPsychological Assessment of Recipients and Donors in Liver TransplantationSegment II/III GraftLeft Liver Graft (Including the Caudate and the Middle Hepatic Vein)Right Liver Graft (Including the Middle Hepatic Vein)Microvascular Technique of Hepatic Artery AnastomosisAnesthesia Management of the Adult Liver Transplant Recipient and Living DonorAnesthesia for Pediatric Liver TransplantationPerioperative ICU Care of Donors and RecipientsThe Middle Hepatic Vein ControversyBiliary Complications of Right Liver LDLTSmall-for-Size Graft and InjuryDonor ResultsRecipient Results Readership: Surgeons, researchers, nurses, medical students, patients and laypersons seeking information on LDLT. Keywords:Living Donor Liver Transplant;History and Technical Procedures;Operative Results