Néphrectomie pour don de rein : quel système utiliser pour la ligature de l’artère rénale ? Aspects réglementaires et résultats de l’enquête nationale du CTAFU

Abstract

Polymer Locking Clips (Weck* Hem-o-lok*, Teleflex Medical) are widely used for the vascular control during laparoscopic nephrectomy. However, those clips are contraindicated for use in ligating the renal artery during laparoscopic nephrectomies in living donor patients since 2005. We reviewed regulatory aspects, meta-analysis and guidelines published on the means used to ligate the renal artery during laparoscopic living donor nephrectomy. We although investigated among 31 French kidney transplant centers about their technic to occlude the renal artery. This survey was compared to those previously published in North America and in Europe.