A prospective evaluation of donor and graft outcomes of 3-D laparoscopic donor nephrectomy: A single centre experience

Kumar, Anup; Gupta, Pankaj; Kumar, Sandeep; Yadav, Siddharth; Prasanth, Y M; Tyagi, Vijay; Prasad, V. Devi; Kumar, Sanjay

doi:10.5173/ceju.2019.1850

Cited by 1 publication

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“…All types of minimally invasive nephrectomy in living donors have undeniable advantages over the open technique, but they have not shown significant differences in comparison with each other [ 6 ]. In the last few years, data have been published on the usage of three-dimensional (3D) imaging for living donor nephrectomy [ 7 - 10 ]. The purpose of this report was to present the results of the initial experiences of 3D hand-assisted laparoscopic donor nephrectomy (3D-HALDN) at a single transplant center and compare them with traditional two-dimensional hand-assisted laparoscopic donor nephrectomy (2D-HALDN) with manual assistance.…”

Section: Introductionmentioning

confidence: 99%

Two- and three-dimensional laparoscopic donor nephrectomy: a comparative study of a single-center experience

Rysmakhanov

Yelemessov

Mussin

et al. 2022

Korean J Transplant

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Background This is the first report on three-dimensional (3D) laparoscopic donor nephrectomy performed in the Central Asian region and Commonwealth of Independent States countries. This study presents the results of our initial experiences of 3D hand-assisted laparoscopic donor nephrectomy (3D-HALDN) in comparison with the outcomes of two-dimensional hand-assisted laparoscopic donor nephrectomy (2D-HALDN) at a single center. Methods From 2015 to 2019, 19 3D-HALDN and 19 2D-HALDN procedures were performed at the same center by two surgeons. All 38 procedures used identical techniques. Between-group differences were considered statistically significant at P<0.05. Results The baseline characteristics in both groups were statistically comparable (P>0.05). All donors underwent left nephrectomy. Donors who underwent 3D-HALDN had better outcomes than those who underwent 2D-HALDN, as shown by a shorter warm ischemic time (P<0.05), a shorter operative time (P<0.05), and less blood loss (P<0.05). There were no conversions or major complications (according to the Clavien-Dindo classification) in either group. The average drainage duration and postoperative hospitalization were significantly shorter in the 3D-HALDN group (P<0.05). The between-group differences in the mean postoperative creatinine level and glomerular filtration rate were not significant. Conclusions The 3D-HALDN approach is more beneficial than traditional 2D-HALDN by providing a shorter warm ischemic time, less blood loss, and shorter durations of drainage and postoperative hospitalization. Postoperative complications and the functional condition of the kidney in donors in the early and late postoperative periods did not depend on the type of laparoscopic donor nephrectomy.

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