Laparoscopic nephron-sparing surgery in a Jehovah's Witness patient.

Journal Article

An obese 76-year-old woman with type II diabetes, hypertension, coronary artery disease, and gastroesophageal reflux was found to have a 6-cm lower-pole mass in a solitary functional right kidney. Because her religious beliefs prohibited blood transfusion, minimally invasive surgery--a laparoscopic partial nephrectomy--was performed, with a good result. Minimally invasive surgery, perhaps with administration of erythropoietin, iron-dextran, or both, is often a good option for severely anemic patients or those whose religious beliefs are opposed to transfusion. Methods of minimizing blood loss intraoperatively are reviewed.

Full Text

Duke Authors

Cited Authors

  • Yohannes, P; Rao, M; Burjonrappa, S; Sudan, R

Published Date

  • February 2004

Published In

Volume / Issue

  • 18 / 1

Start / End Page

  • 59 - 62

PubMed ID

  • 15006056

International Standard Serial Number (ISSN)

  • 0892-7790

Digital Object Identifier (DOI)

  • 10.1089/089277904322836695

Language

  • eng

Conference Location

  • United States