Innovations in Transplantation: Single-Port Donor Nephrectomy for Living-Donor Kidney Transplantation Face Transplantation: Preclinical and Clinical Trials Rolf N. Barth, M.D. Department of Surgery University of Maryland School of Medicine AHRQ 2011 Annual Conference September 19, 2011
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Innovations in Transplantation: Single-Port Donor Nephrectomy for Living-Donor Kidney Transplantation Face Transplantation: Preclinical and Clinical Trials.
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Innovations in Transplantation:
Single-Port Donor Nephrectomy for Living-Donor Kidney Transplantation
Face Transplantation: Preclinical and Clinical Trials
Rolf N. Barth, M.D.Department of Surgery
University of Maryland School of MedicineAHRQ 2011 Annual Conference
September 19, 2011
Single-Port Donor Nephrectomy for Living-Donor Kidney Transplantation
Renal Transplantation as Therapy for End Stage Renal Disease
2000 - 2009
The Organ Procurement and Transplantation Network (OPTN). www.optn.org. 2009.
Rationale for Single-Port Donor Nephrectomy Program
• Advanced laparoscopic approach achieved with existing instrumentation and techniques
• Improved cosmetic appearance• Potential for improved post-operative recovery• Motivate recipient/donor combinations• Encourage living kidney donation
University of Maryland Experience• Performed 1300 laparoscopic donor
nephrectomies• Preparation for single-port
• Minimized ports on standard donor• Observed procedures• Animal lab
• April 2009 initiated single-port donor nephrectomy as routine approach
• Currently performed over 140 single-port donor nephrectomies
Access DevicesSILS Port Device
(Covidien)
Gelport/Gelpoint Device (Applied Medical)
Transumbilical Renal ExtractionMinimizes apparent length of incision