Vascular control during laparoscopic kidney donation

Vascular control during laparoscopic kidney donation

Vascular control during laparoscopic kidney donation

Can J Surg 2017;60(3):150-151 | PDF | Appendix

Thomas B. McGregor, MD; Premal Patel, MD; Alp Sener, MD, PhD; Gabriel Chan, MD, MSc

Summary

Laparoscopic donor nephrectomy (LDN) is the gold standard for kidney donation. Recent literature has led to considerable debate regarding the safest route to provide vascular control during this procedure. The most common devices used for vascular control during LDN are staplers and surgical clips. Opinions regarding the safety of these devices vary, as both are prone to dysfunction. Certain clips have already been contraindicated for use on the donor artery owing to reports of catastrophic complications of falling off. Donor safety is paramount to the continued success of renal transplantation in Canada. A review of existing practice at each institution may be called for to ensure the safest standards possible are in place.


Accepted Feb. 6, 2017

Affiliations: From the Department of Urology, Queen’s University, Kingston, Ont. (McGregor); the Section of Urology, University of Manitoba, Winnipeg, Man. (Patel); the Division of Urology, Western University, London, Ont. (Sener); and the Faculté de Médicine – Chirurgie, Université de Montréal, Montréal, Que. (Chan).

Competing interests: None declared.

Contributors: All authors contributed substantially to the conception, writing and revision of this article and approved the final version for publication.

DOI: 10.1503/cjs.016016

Correspondence to: T.B. McGregor, Department of Urology, Queen’s University, 76 Stuart St, Victory 4, Rm 3-4-222, Kingston ON K7L 2V7 mcgregot@kgh.kari.net