To introduce the advantages, incision designing methods and surgical procedures of spigelius' line incision in retroperitoneal laparoscopic living donor nephrectomy.

Methods: The clinical data of 114 donors undergoing retroperitoneal laparoscopic living donor nephrectomy from September 2012 to July 2017 were analyzed retrospectively. The operation was performed by laparoscopic surgery to separate the ureter, renal vessels and perirenal fat. Finally, the renal vessels were removed and the kidneys were removed with hand-assistant. 75 cases were taken out of the kidney through the inguinal parallel incision(Gibson incision), while the other 39 cases used the spigelius' line incision(Through the linea pararectalis, the anterior sheath is cut opened at the margin of the rectus sheath and the lateral peritoneum is pushed into the midline to expose the retroperitoneal space).

Results: The incision length of the spigelius' line incision group was (6.80±0.58)cm, and the incision length of the Gibson incision group was (7.01±0.39)cm, p=0.02. The blood loss of the operation of the spigelius' line incision group was (59.23±33.41)ml, while the Gibson incision group was(80.67±32.81)ml, p=0.002. There was no significant difference between the two groups in the warm ischemia time and the operation time.

Conclusions: Compared with other incision, the spigelius' line incision can completely avoid cuting open the abdominal muscles, and effectively avoid the abdominal nerves injury, Without damaging the integrity of the peritoneum, and reduce the occurrence of incisional hernia.

CITATION INFORMATION: Qiu J., Chen G., Wu Z., Wang C., Chen L. Spigelius' Line Incision as a Successful Route to Extract the Kidney during Retroperitoneal Laparoscopic Live-Donor Nephrectomy Am J Transplant. 2017;17 (suppl 3).

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