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Surgeons take kidneys through navel

[2008-7-22]

Tag : Single Point

Kaster was the 10th donor to undergo the procedure at the ClevelandClinic. Dr. Inderbir S. Gill and colleagues at the researchhospital on Thursday were to perform the 11th such procedure, whichGill said could make kidney donations more palatable by sharplyreducing recovery time.

More than 80,000 Americans are awaiting kidney transplants. Lastyear, there were about 13,300 kidney donors in the U.S., and about45 percent were living donors, according to the Organ Procurementand Transplantation Network.
The first 10 recipients and donors whose transplants used thesingle-incision navel procedure have done well, according to theresearchers. They report on the first four patients in the Augustissue of the Journal of Urology.
Preliminary data from the first nine donors who had the bellybuttonprocedure showed they recovered in just under a month, while donorswho underwent the standard laparoscopic procedure with four to six"key hole" incisions took just longer than three months to recover.

The clinic says the return-to-work time for single-point donors isabout 17 days, versus 51 for traditional multi-incisionlaparoscopic procedure.

"For me, that's huge so I can get back to work," said Kaster, aself-employed optometrist.
Patients of the new procedure were on pain pills less than fourdays on average, compared with 26 days for laparoscopic patients.

"This represents an advance, for the field of surgery in general,"said Gill, who predicted the bellybutton entry would be usedincreasingly for major abdominal surgery in a "nearly scar-free"way."Will this decrease the disincentive to (kidney) donation? I thinkthe answer is yes," Gill said.

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