A Fast and Safe Living Donor “Finger-Assisted” Nephrectomy Technique: Results of 359 Cases

Hakim, Nadey; Aboutaleb, E.; Syed, Ayeshah; Rajagopal, Poyyamozhi; Herbert, Paul; Canelo, Rubén; Papalois, Vassilios

doi:10.1016/j.transproceed.2009.12.042

Cited by 12 publications

(4 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As one of the largest kidney transplant units in the United Kingdom, the volume of nephrectomies is greater and this has been associated with improved outcomes (9). In addition, the hand-assisted mini-open nephrectomy is not ubiquitously used, with many European centers continuing to use traditional open or laparoscopic techniques (28).…”

Section: Discussionmentioning

confidence: 99%

Expanding the Donor Pool

et al. 2012

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Expanding the Donor Pool

et al. 2012

View full text Add to dashboard Cite

show abstract

“…Many newer MIS techniques have been reported, but most of these are variations to LDN, such as robotic-assisted laparoscopy, retroperitoneal laparoscopy, single-site laparoscopy and natural orifice transluminal endoscopic surgery (transvaginal route of organ retrieval). A novel technique of ‘finger-assisted’ ODN by a team in the UK has reported smaller combined length of incisions, shorter OT, comparable WIT and complication rates, while costing less than LDN 16 The cost-effectiveness of these methods will need to be investigated before they are adopted. Generally, MIS techniques tend to have higher costs than open surgery.…”

Section: Discussionmentioning

confidence: 99%

Living-donor nephrectomy at Singapore General Hospital: Evolution of surgical techniques over the last two decades

Aslim

Linn

Yang

et al. 2020

Proceedings of Singapore Healthcare

View full text Add to dashboard Cite

Background: Laparoscopic living-donor nephrectomy is the current epitome of living kidney donation surgery. We review our experience in living-donor nephrectomies over the last 19 years, transitioning from open surgery to hand-assisted laparoscopy to full laparoscopic techniques. Methods: We retrospectively identified all living-donor nephrectomies performed at our institution from 1976 to 2018. The donors were categorised according to surgical techniques: open (ODN), hand-assisted laparoscopy (HALDN) and full laparoscopy (LDN). We reviewed changes in donor demographics over the years. Surgical outcomes between groups were compared from 2000 to 2018. We also compared the outcomes of LDN between different time periods to evaluate our learning curve. Results: A total of 214 living-donor nephrectomies were performed between 2000 and 2018. The majority were left sided (93%) and had single renal artery anatomy (90%). There were 22 ODN, 20 HALDN and 163 LDN cases. The mean operating time was 84±43, 151±32 and 179±37 minutes for ODN, HALDN and LDN, respectively ( p<0.001). There were no statistically significant differences in mean warm ischaemia times ( p=0.921) and length of hospital stay ( p=0.114) between groups. The overall 30-day surgical morbidity rate was 9.3%, with a major complications rate of 0.9%. The mean warm ischaemia time for LDN was significantly different ( p<0.001) between time periods: 281±260, 184±94 and 140±42 seconds for the periods between 2005–2009, 2010–2014 and 2015–2018, respectively. Conclusion: This study confirms the safety of living-donor nephrectomies performed at our institution, a centre with a modest volume of kidney transplants.

show abstract

“…Surgical techniques recommended are those minimally invasive, in view of the lower impact on donor's morbidity, in comparison with the traditional open approach. Recommended approaches are, therefore, mini-open, laparoscopy (full or hand-assisted), and retroperitoneoscopy [24,25]. More recently, robotic-assisted living donor nephrectomy has been showing the best outcomes in the prevention of excessive manipulation of the kidney during the extraction, but there is a higher overall cost, thus significantly limiting its implementation [26].…”

Section: Surgical Options For Living Donor Nephrectomymentioning

confidence: 99%

Living Kidney Donation: Practical Considerations on Setting Up a Program

et al. 2021

View full text Add to dashboard Cite

Living kidney donation represents the best treatment for end stage renal disease patients, with the potentiality to pre-emptively address kidney failure and significantly expand the organ pool. Unfortunately, there is still limited knowledge about this underutilized resource. The present review aims to describe the general principles for the establishment, organization, and oversight of a successful living kidney transplantation program, highlighting recommendation for good practice and the work up of donor selection, in view of potential short- and long-terms risks, as well as the additional value of kidney paired exchange programs. The need for donor registries is also discussed, as well as the importance of lifelong follow up.

show abstract

A Fast and Safe Living Donor “Finger-Assisted” Nephrectomy Technique: Results of 359 Cases

Cited by 12 publications

References 23 publications

Expanding the Donor Pool

Expanding the Donor Pool

Living-donor nephrectomy at Singapore General Hospital: Evolution of surgical techniques over the last two decades

Living Kidney Donation: Practical Considerations on Setting Up a Program

Contact Info

Product

Resources

About