Laparoscopic Live Donor Nephrectomy: Comparison of Outcomes Right Versus Left

Kumar, Anant; Chaturvedi, Saurabh; Gulia, Anil; Maheshwari, Ruchir; Dassi, Vimal; Desai, Pragnesh

doi:10.1016/j.transproceed.2018.03.034

Cited by 20 publications

(34 citation statements)

References 11 publications

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“…rLLDN has a steep learning curve. When surgeons get mastered the laparoscopy technique, complication rates and operation times may decrease in both lLLDN and rLLDN [27, 29]. Our results show that rLLDN median OT was longer than the lLLDN’s ( p = 0.046).…”

Section: Discussionmentioning

confidence: 79%

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Laparoscopic Live Donor Nephrectomy: Experience of High-Volume Center with 2,477 Cases

et al. 2020

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Objective: Donors’ health and safety are mandatory in the living-donor kidney transplantation procedure. Laparoscopic live donor nephrectomy (LLDN) provides an increase in donor numbers with its benefits and becomes a standard of care. We aimed to explain the results, complication rates, tips, and tricks of the largest number of LLDN case series ever performed in the literature. Materials and Methods: Between August 2012 and December 2019, 2,477 live donor case files were analyzed retrospectively. Age, gender, hospitalization times, body mass index, warm ischemia times, operation times, numbers of arteries, side of the kidneys, and complications were noted. Results: 1,421 (57.4%) of 2,477 donors were female (p = 0.007). Operation times and warm ischemia times were found longer in right-sided LLDN and donors with multiple renal arteries (p = 0.046, <0.001, and <0.001, respectively). Obesity (BMI >30 kg/m2) did not affect warm ischemia times while prolonging the operation times (p = 0.013). Hospitalization times and numbers of complications were higher in obese donors. Conclusions: LLDN seems to be a reliable solution with fewer complications and higher satisfaction rates. We hope to illuminate the way with tips and trick points for beginner transplant surgeons based on the experience obtained from 2,477 LLDN cases.

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Section: Discussionmentioning

confidence: 79%

“…Based on the shorter right renal vein and the right renal artery’s early branching, rLLDN is more complicated than lLLDN. In contrast, some authors reported that rLLDN could be performed safely as the lLLDN by skilled and experienced surgeons [27, 28]. rLLDN has a steep learning curve.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Live Donor Nephrectomy: Experience of High-Volume Center with 2,477 Cases

et al. 2020

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“…When the kidney function of both kidneys is different, the lesser functioning kidney is used for donation, in order to limit the risks for the donor. Many concerns have been raised regarding the use of the right kidney for living donation, but literature suggests that right laparoscopic donor nephrectomy is feasible and results in good graft function [10,11].…”

Section: Living Donor Nephrectomymentioning

confidence: 99%

Robot-Assisted Kidney Transplantation

Decaestecker¹,

Territo²,

Campi³

et al. 2020

Medical Robotics - New Achievements

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Robot-assisted kidney transplantation (RAKT) has recently been introduced to reduce the morbidity of open kidney transplantation (KT). Robot-assisted surgery has been able to overcome many of the limitations of classical laparoscopy, certainly in complex and technically demanding procedures, such as vascular and ureteral anastomosis. Since the first RAKT in 2010, this technique has been standardized and evaluated in highly experienced robot and KT centers around the world. In Europe, the European Association of Urology Robotic Urology Section (ERUS) created an RAKT working group in 2016 in order to prospectively follow the outcomes of RAKT. When performed by surgeons with both robotic and KT experience, RAKT has been proven to be safe and reproducible in selected cases and yield excellent graft function with a low complication rate. Multiple institutions have now adopted RAKT, and its use will likely increase in the near future. However, structured training and proctoring will be mandatory for those embarking on RAKT in order to help them negotiate the learning curve and avoid technical mistakes. This chapter will describe RAKT from living and deceased donors and its application in kidney autotransplantation (KAT).

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“…Minimally invasive surgery was introduced into renal transplantation with the first Laparoscopic Live Donor Nephrectomy (LLDN) in 1995. 14…”

Section: Laparoscopic Donor Nephrectomymentioning

confidence: 99%

Live kidney donor: surgical aspect and outcome

Deb¹,

Okechukwu²,

Emara³

et al. 2019

UNOAJ

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There is evidence that delayed graft function and acute rejection, can adversely influence not only the short-term but also long-term graft survival. Obviously, the risk of delayed graft function is considerably lower in living-donor transplants than in cadaver transplants. Also, the incidence of acute rejection is lower, not only in living-related transplants with a good human leukocyte antigen (HLA) match but even in living-unrelated transplants. The aim of this review was to evaluate the surgical procedures applied in live kidney donor transplantation and their outcomes with regards to global best practices. We searched for studies that reported on living kidney transplantation and kidney donor, surgical aspect and Outcome, from inception till 2018, and we preferred articles that were published in English. The following electronic databases were used: PubMed, Science Direct, Medline, Embase, Google Scholar and Cochrane database. Living kidney donor transplantation is better than kidney transplantation from a deceased donor because the transplanted kidney becomes active and functional immediately after transplantation, whereas in transplants derived from deceased donors, the reverse is usually the case due to shorter ischemic time by minimal ischemic damage of the allograft. The surgical procedures applied in live kidney donor transplantation, are constantly undergoing modification inorder to minimize postoperative complications, improve treatment outcomes and enhance patient's quality of life.

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Laparoscopic Live Donor Nephrectomy: Comparison of Outcomes Right Versus Left

Cited by 20 publications

References 11 publications

Laparoscopic Live Donor Nephrectomy: Experience of High-Volume Center with 2,477 Cases

Laparoscopic Live Donor Nephrectomy: Experience of High-Volume Center with 2,477 Cases

Robot-Assisted Kidney Transplantation

Live kidney donor: surgical aspect and outcome

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