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A case of retroperitoneoscopic left nephrectomy for a living kidney transplant donor with a history of sigmoid colectomy Masaki IMAMURA 1 , Takanori MEI 1 , Hiroshi NOGUCHI 1 , Keizou KAKU 1 , Yasuhiro OKABE 1 , Masafumi NAKAMURA 1 1Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University Keyword: 後腹膜鏡下 , ドナー腎採取術 , S状結腸切除術 pp.284-288
Published Date 2022/11/15
DOI https://doi.org/10.11477/mf.4426201015
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 The patient was a 68-year-old woman. Laparoscopic sigmoidectomy with D3 lymph node dissection was performed previously for sigmoid colon cancer, and left retroperitoneoscopic donor nephrectomy was performed subsequently as a living-donor kidney transplant donor. In sigmoidectomy with lymph node dissection, the left-sided mesentery is dissected from the retroperitoneum; therefore, a history of a previous operation may be a concern in retroperitoneal kidney surgery. However, in this case, in both the sigmoidectomy and retroperitoneal laparoscopic donor nephrectomy, the correct layer was dissected owing to the magnifying effect peculiar to endoscopic surgery, and Gerota's fascia on the ventral side of the kidney was preserved. Therefore, it was considered that the effect of the previous sigmoidectomy was minimal, and the subsequent donor nephrectomy required less operation time and resulted in less bleeding volume than those expected in living-donor kidney transplant donors with no history of surgery.


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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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