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Laparoscopic vascular control techniques in donor nephrectomy: Effects on vessel length. JSLS 2006;10(2):141-4

Date

08/03/2006

Pubmed ID

16882408

Pubmed Central ID

PMC3016141

Scopus ID

2-s2.0-39049183541 (requires institutional sign-in at Scopus site)   12 Citations

Abstract

BACKGROUND: Various techniques for vascular control have been used during urologic laparoscopic procedures. The importance of optimizing the vessel length and securing reliable vascular control are critical for procedures like laparoscopic donor nephrectomy. We aimed to determine the length of vessel lost by using 4 common techniques of vascular control in a fresh human cadaveric vascular model.

METHODS: The techniques include application of 2 non-absorbable polymer-ligating clips (10-mm Hem-o-Lok MLX Weck Closure Systems, Research Triangle Park, NC), Endo-GIA II stapler (30-mm length, 2.5-mm staples, Auto Suture, US Surgical, Norwalk, CT), Endopath ETS35 stapler (35 mm length, 2.5mm staples, Ethicon Endo-Surgery), and the Endo Ta-30 stapler (30-mm length, 2.5-mm staples, Auto Suture, US Surgical, Norwalk, CT).

RESULTS: The Endo-TA-30 stapler and the polymer clips resulted in significantly less compromise of the vessel length, when compared with the other methods of vascular control.

CONCLUSIONS: The Endo-TA-30 stapler and the polymer clips can be applied during laparoscopic procedures where optimizing vascular length is important.

Author List

Bernie JE, Sundaram CP, Guise AI

Author

Amy Guise MD Associate Professor in the Urologic Surgery department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Aorta, Abdominal
Cadaver
Equipment Design
Humans
Iliac Artery
Iliac Vein
Laparoscopy
Nephrectomy
Surgical Stapling
Sutures
Tissue Donors
Vascular Surgical Procedures
Vena Cava, Inferior