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Living Donation: The Role of Laparoscopy

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Copyright ©2004 by the American College of Physicians

Ann Intern Med. 1998;129(12):1094. doi:10.7326/0003-4819-129-12-199812150-00050
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In an effort to facilitate living donation of kidneys, surgeons at the University of Maryland now rely exclusively on laparoscopic nephrectomy for graft harvest. The technique was pioneered at Johns Hopkins and refined by the group at Maryland. “The way we do it is truly minimally invasive,” stated Stephen Bartlett, MD, Professor of Surgery and Medicine, and Head of the Division of Transplant at the University of Maryland School of Medicine. The laparoscopic technique requires only a 5-cm incision; open nephrectomy calls for a 25-cm incision. The donor kidney is removed in a polyethylene bag that has been passed in through the scope.



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