Yazar "Sener, Alp" seçeneğine göre listele

Listeleniyor 1 - 1 / 1
  • Küçük Resim Yok
    Öğe
    Minimally invasive renal transplantation
    (Nova Science Publishers, Inc., 2023) Sogutdelen, Emrullah; Kemahli, Eray; Sener, Alp
    The prevalence of CKD has become a major health concern, affecting 1 in 7 (14%) people in the United States. Additionally, CKD is increasing globally due to the aging of the population and an increase in chronic diseases such as hypertension and diabetes. In 2019, more than 150,000 solid organ transplants were performed worldwide, of which over 60% were kidney transplants. This chapter will focus mostly on the use and increasing importance of minimally invasive methods (laparoscopy and robotics) in kidney transplantation. The increase in the number and long term success of kidney transplants in the light of immunological, pathological, and pharmacological developments over the years. As minimally invasive techniques were improved across multiple surgical disciplines, these methods began to be used for the first time in donor nephrectomies; the first reports highlighting laparoscopic and robotic-assisted laparoscopic donor nephrectomies were performed by Ratner at Johns Hopkins University in 1995 and by Horgan at the University of Illinois, Chicago, in 2000, respectively. The most important parameter in kidney transplantation is patient and graft survival. Cross-matching, preemptive transplantation, short ischemia and anastomotic times, and grafts obtained from living donors all have an impact on graft survival. Patient and graft survival are similar in both conventional open and minimally invasive transplant models. The goal of minimally invasive surgery has always been to minimize surgical trauma and related complications such as postoperative pain, wound-related complications, and cosmetic side effects by using optical and electronic visualization equipment with several small incisions instead of a single large incision. In addition, enhanced imaging allows the surgical field and structural anatomy to be more clearly visualized. However, there are some limitations such as expensive imaging equipment, lack of tactile feedback, and steep learning curves that come up with novel technologies. Robot-assisted laparoscopic surgery partially removes the technical limitations of laparoscopy. This innovation has significantly expanded the indication for minimally invasive surgery in more sensitive and complex surgeries, thanks to its advantages such as higher resolution and 3D imaging, greater motion sensitivity, improved dexterity, and tremor filtration. © 2023 Nova Science Publishers, Inc. All rights reseverd.