Başkent Üniversitesi Yayınları

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Subject: search.filters.subject.Situs inversus

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    Total Laparoscopic Donor Nephrectomy In Situs Inversus Totalis: A Case Report
    (Başkent Üniversitesi, 2013-04) Berber, Ibrahim; Gurkan, Alihan; Cakir, Ulkem; Alim, Altan; Gurluler, Ercument; Gures, Nazim
    Situs inversus totalis is a rare anomaly characterized by the total inversion of all abdominal and thoracic organs. For the first time, we report a case of a donor nephrectomy in a patient with situs inversus totalis, completed with a full laparoscopic approach. At the time of this writing, the donor and the recipient are doing well after 6 month’s follow-up. Our experience shows that patients with situs inversus totalis may be eligible candidates for laparoscopic donor nephrectomy, provided that detailed preoperative imaging studies as well as precise preoperative planning are performed before the transplant.
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    Hand-Assisted Laparoscopic Donor Nephrectomy in Patients With Aberrant Inferior Vena Caval Anatomy
    (Başkent Üniversitesi, 2010-09) Dellen, David van; Inston, Nicholas G.; Ready, Andrew R.
    Objectives: Hand-assisted laparoscopic donor nephrectomy has become an established technique for live-donor organ retrieval. In most cases, the left kidney is removed because of its more favorable anatomic relations, particularly with the major abdominal vessels. Materials and Methods: We present 2 cases of live donation in which a hand-assisted laparoscopic approach was used to remove the right kidney as indicated by the presence of aberrant vascular anatomy, 1 being situs inversus totalis, the other a left-sided inferior vena cava. Results: A 41-year-old woman and a 51-year-old man underwent assessment for live-kidney donation. During preoperative investigation, they underwent magnetic resonance imaging that demonstrated situs inversus totalis and a left-sided inferior vena cava. No contraindications to live donation were found during the investigation. In both cases, a right donor nephrectomy was performed owing to an anatomically longer right renal vein. Living donation proceeded without complication in both cases, and both patients had uneventful recoveries. Conclusions: Abnormalities in vascular anatomy should not be considered an absolute contraindication to donation, even by the hand-assisted laparoscopic donor approach. The use of magnetic resonance scanning preoperatively allows detailed planning of the approach required.