Hand-Assisted Laparoscopic Living-Donor Nephrectomy as an Alternative to Traditional Laparoscopic Living-Donor Nephrectomy

Buell, Joseph F.; Hanaway, Michael J.; Potter, Steven R.; Cronin, David; Yoshida, Atsumi; Munda, Rino; Alexander, J. Wesley; Newell, Kenneth A.; Bruce, David S.; Woodle, E. Steve

doi:10.1034/j.1600-6143.2002.21017.x

Cited by 62 publications

(51 citation statements)

References 20 publications

(38 reference statements)

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“…One of the largest series in the literature is from the University of Maryland, which reported a 6.8% intraoperative and 17.1% postoperative complication rate with 738 laparoscopic donor nephrectomies [24]. The rate of major complications in our series (5.5%) was in the range of published data for open (1-6%) or laparoscopic techniques (1-6.3%) [3,4,28].…”

Section: Discussionmentioning

confidence: 47%

Complications of retroperitoneoscopic living donor nephrectomy: single center experience after 164 cases

et al. 2008

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Section: Discussionmentioning

confidence: 47%

Complications of retroperitoneoscopic living donor nephrectomy: single center experience after 164 cases

et al. 2008

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“…Slower early function in laparoscopic grafts, however, was not observed on all post-transplant days, did not persist beyond the first month, and did not achieve statistical significance at all time points in all studies (10,11,13,14,19,20). Also, other reports have suggested equivalent early graft function after laparoscopic and open kidney procurement (21,22). Thus, the controversy surrounding the quality of early function of laparoscopic kidney grafts remains unresolved.…”

Section: Introductionmentioning

confidence: 81%

Laparoscopic (vs. Open) Live Donor Nephrectomy: A UNOS Database Analysis of Early Graft Function and Survival

Troppmann

Ormond²,

Perez

2003

American Journal of Transplantation

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“…Compared to the large published series of (hand-assisted) laparoscopic nephrectomies, the RPDN operation time was clearly shorter [4,19,20], demonstrating that RPDN is relatively easy to perform. The clear view onto renal vessels provides a safe procedure for left-and right-sided kidney donation.…”

Section: Discussionmentioning

confidence: 99%

“…Table 3 provides information about the type of complications in both groups. Donors were discharged 6.5 [3][4][5][6][7][8][9][10][11][12] days after MIDN and 4.9 [3][4][5][6][7][8][9][10][11][12][13] days after RPDN, which was significantly different ( < 0.001, Table 1). None of the donors was forced to leave hospital before his or her subjective well-being.…”

Section: Outcome Of the Donormentioning

confidence: 93%

“…These can result from mobilization of the colon flexure which is needed to provide access to the kidneys. For laparoscopic access with or without hand assistance long operation times (>3 h), the need for an experienced surgeon (long learning curve) and the potential life-threatening complications like splenic injuries have been described [3][4][5].…”

Section: Introductionmentioning

confidence: 99%

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Comparing Surgical Complications of Donors and Recipients in Retroperitoneoscopic versus Mini-Incision Donor Nephrectomy: A Single-Center Experience

Koch

Bachmann

Nashan

2013

ISRN Transplantation

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Anterior vertical mini-incision donor nephrectomy (MIDN) has been used as the standard retrieval procedure in our center. Though the MIDN approach was tolerated very well with low complication rates, there were especially cosmetic reasons, to consider a change of procedure. Hence we switched to a total retroperitoneoscopic donor nephrectomy (RPDN) in 2011. We compared the outcome and surgical complications of donors and recipients of the first 30 RPDNs performed with 30 consecutive MIDN procedures. In both techniques, right and left nephrectomies were carried out. After a very short learning curve, the mean RPDN operation times were shorter compared to the MIDN (109 versus 171 min, < 0.01) and donors were discharged earlier. No major complications occurred in the RPDN group and complications were less frequent compared to MIDN (17% versus 40%). The renal function in the recipients was equivalent in both groups at the time of discharge and after one year. We conclude that RPDN is easy to learn for a surgical team experienced in open retroperitoneal donor nephrectomy. The change of the retrieval technique is safe for the donor and the recipient regarding surgical complications and recipients' renal function. Donors benefit from RPDN due to earlier hospital discharge and faster recovery.

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Hand-Assisted Laparoscopic Living-Donor Nephrectomy as an Alternative to Traditional Laparoscopic Living-Donor Nephrectomy

Cited by 62 publications

References 20 publications

Complications of retroperitoneoscopic living donor nephrectomy: single center experience after 164 cases

Complications of retroperitoneoscopic living donor nephrectomy: single center experience after 164 cases

Laparoscopic (vs. Open) Live Donor Nephrectomy: A UNOS Database Analysis of Early Graft Function and Survival

Comparing Surgical Complications of Donors and Recipients in Retroperitoneoscopic versus Mini-Incision Donor Nephrectomy: A Single-Center Experience

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