Hand-assisted laparoscopic nephrectomy in a high risk overweight donor with left-sided IVC, and previous abdominal surgery

Giuseppe Serena, Javier González, Leonardo E. Garcia, Giselle Guerra, Mahmoud Morsi, Gaetano Ciancio

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: The extension of donor eligibility criteria represents one of the possible ways to increase the organ shortage, thus decreasing the waiting time for kidney transplantation. Expectedly, this strategy is associated with a growing number of more technically demanding living donor nephrectomy procedures requiring careful assessment, and sound surgical experience in order to avoid intraoperative complications. Case presentation: After a thorough evaluation through preoperative imaging, we performed a hand-assisted left laparoscopic living donor nephrectomy in a 56 year-old overweight patient with history of prior abdominal surgery, harboring a left-sided inferior vena cava (IVC). Discussion/conclusion: This case describes our comprehensive approach in this complex surgical scenario to preserve donor safety and provide an optimal kidney graft.

Original languageEnglish (US)
Pages (from-to)20-23
Number of pages4
JournalInternational Journal of Surgery Case Reports
Volume64
DOIs
StatePublished - 2019

Keywords

  • Left-sided inferior vena cava
  • Living donor nephrectomy
  • Operative complications
  • Risk factors
  • Venous anomalies

ASJC Scopus subject areas

  • Surgery

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