Parenchymal Transection of the Kidney Inflicted by Endocatch Bag Entrapment During a Laparoscopic Donor Nephrectomy

• Published in: American journal of transplantation Vol. 6; no. 1; pp. 232 - 235
• Main Authors: Mohamed, H. K., Lin, A., Savage, S. J., Rajagopalan, P. R., Baliga, P. K., Chavin, K. D.
• Format: Journal Article
• Language: English
• Published: Oxford UK Munksgaard International Publishers 01.01.2006; Blackwell
• Subjects: Adult; Biological and medical sciences; Digestive system. Abdomen; Endocatch bag; Endoscopy; entrapment; Female; Humans; Investigative techniques, diagnostic techniques (general aspects); Kidney - injuries; Kidney - pathology; Kidney - surgery; Kidney Transplantation; laparoscopic nephrectomy; Laparoscopy; live donor; Living Donors; Medical sciences; Nephrectomy - adverse effects; parenchymal transection; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the urinary system; Tissue and Organ Harvesting; Treatment Outcome; Endoscopic surgery; Living donor; Endocatch bag; entrapment; parenchymal transection; Bag; Laparoscopy; laparoscopic nephrectomy; Homotransplantation; Kidney; live donor; Treatment; Urinary system; Nephrectomy; Graft; Endoscopy; Organ harvesting; Kidney transplantation
• ISSN: 1600-6135; 1600-6143
• DOI: 10.1111/j.1600-6143.2005.01146.x

We present a case of inadvertent decapsulation and grade IV renal parenchyma laceration during laparoscopic donor nephrectomy. The kidney was repaired, used and functioned immediately. There were no complications in the donor. To our knowledge, this type of injury has not been reported previously and the purpose of this report is to focus attention on the potential for this unusual injury, which can occur during delivery of the kidney using the endocatch bag.