Laparoscopic Live Donor Nephrectomy: Single-Center Experience of 200 Consecutive Cases

Sozener, Ulas

doi:10.1089/lap.2020.0545

Cited by 3 publications

(6 citation statements)

References 12 publications

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“…The overall outcome was in concordance with the LDN literature [13][14][15][16]. Despite the steep learning curve, our mean operative time was 72.8 min.…”

Section: Discussionsupporting

confidence: 87%

“…WIT was comparable with the literature [13][14][15][16]. We followed three technical tips in a trial to minimize the WIT to lowest possible level even if theoretically.…”

Section: Discussionmentioning

confidence: 85%

“…With comparable functional outcomes, LDN offers shorter LOS, less postoperative pain, a faster return to normal activity and improved cosmesis. Demonstrating safety and faster recovery has resulted in increase in the number of living donation since its adoption as a gold standard technique in the last decades [13][14][15][16].…”

Section: Discussionmentioning

confidence: 99%

“…A low rate of complications for the donors and adequate graft function should always be the critical targets for any transplantation team. Application of minimally invasive technique for kidney donations obtains a great advantage in terms of increased compliance with donation when the laparoscopic technique is accessible [8][9][10][11][12][13]. Worldwide, the living kidney donation rate increased significantly after the implementation of minimal invasive donor nephrectomy techniques [3,13].…”

Section: Introductionmentioning

confidence: 99%

“…LDN decreases the incidence of adverse outcomes of open living-donor nephrectomy and improves the prospects of LDN, thus making it more appealing to prospective donors. LDN decreases postoperative pain, shortens convalescence, and improves cosmetic outcomes [13][14][15][16].…”

Section: Introductionmentioning

confidence: 99%

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Laparoscopic donor nephrectomy: technique and outcome, a single-center experience

et al. 2021

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Background Laparoscopic donor nephrectomy (LDN) has been established as a surgical standard for living kidney donation. The aim of this work is to report our own experience with LDN regarding outcome and technique. Methods We prospectively identified 110 LDN cases between May 2017 and April 2020. Donor case files and operative notes were analyzed for age, sex, laterality, body mass index, warm ischemia time (WIT), intraoperative and postoperative complications, operative time, and length of hospital stay (LOS). Data were analyzed using SPSS version 10 (SPSS: An IBM Company, IBM Corporation, Armonk, NY, the USA). Results The mean age was 38 years, and 77% were males. Three cases (2.72%) required conversion to conventional open donor nephrectomy (ODN). Nevertheless, none of cases required intraoperative blood transfusion. The mean WIT was 2.6 min. Two cases (1.8%) developed major vascular injury (Clavien grade IIIb) and required conversion to ODN. Postoperatively, one patient (0.9%) needed transfusion of one unit of packed RBCs (Clavien grade II). The mean LOS was 2 days. Most common early postoperative complication was ileus (Clavien grade II) that developed in 4 (3.6%) cases. Incisional hernia (Clavien grade IIIb) was encountered in two (1.8%) cases. Two (1.8%) cases developed wound infection at the incision site and treated conservatively (Clavien grade I). Conclusions LDN is a safe technique with accepted intraoperative and postoperative morbidity. It offers short hospital stay, better cosmesis and early convalescence. In experienced hands, it can effectively deal with various vascular and ureteral anomalies without compromising early graft function.

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“…The overall outcome was in concordance with the LDN literature [13][14][15][16]. Despite the steep learning curve, our mean operative time was 72.8 min.…”

Section: Discussionsupporting

confidence: 87%

“…WIT was comparable with the literature [13][14][15][16]. We followed three technical tips in a trial to minimize the WIT to lowest possible level even if theoretically.…”

Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Laparoscopic donor nephrectomy: technique and outcome, a single-center experience

et al. 2021

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Trends in kidney transplantation and living donor nephrectomy in Germany: a total population analysis from 2006 to 2021

Zacharis,

Reimold,

Aksoy

et al. 2024

World J Urol

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Purpose To analyze recent trends of surgical access routes, length of hospital stay (LOS), and mortality in kidney transplantation (KT) and living donor nephrectomy (LDN) in Germany. Materials and methods We studied the nationwide German hospital billing database and the German hospital quality reports from 2006 to 2021. Results There were a total of 35.898 KTs. In total, 9044 (25%) were living donor transplantations, while 26.854 (75%) were transplantations after donation after brain death (DBD). The share of open LDN decreased from 82% in 2006 to 22% in 2020 (− 4%/year; p < 0.001). The share of laparoscopic LDN increased from 18% in 2006 to 70% in 2020 (+ 3%/year; p < 0.001). The share of robotic LDN increased from 0% in 2006 to 8% in 2020 (+ 0.6%/year; p < 0.001). Robotic-assisted KT increased from 5 cases in 2016 to 13 procedures in 2019 (p = 0.2). LOS was shorter after living donor KT, i.e., 18 ± 12.1 days versus 21 ± 19.6 days for DBD renal transplantation (p < 0.001). Moreover, LOS differed for open versus laparoscopic versus robotic LDN (9 ± 3.1 vs. 8 ± 2.9 vs. 6 ± 2.6; p = 0.031). The overall in-hospital mortality was 0.16% (n = 5) after LDN, 0.47% (n = 42) after living donor KT and 1.8% (n = 475) after DBD KT. Conclusions There is an increasing trend toward minimal-invasive LDN in recent years. Overall, in-hospital mortality was low after KT. However, 5 deceased healthy donors after LKD caution that the risks of this procedure should also be taken very seriously.

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Pure Laparoscopic Donor Nephrectomy: A Single Institution Experience From a Middle Eastern Country

Tayeh

Chebel

Semaan

et al. 2022

Transplantation Proceedings

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Laparoscopic Live Donor Nephrectomy: Single-Center Experience of 200 Consecutive Cases

Cited by 3 publications

References 12 publications

Laparoscopic donor nephrectomy: technique and outcome, a single-center experience

Laparoscopic donor nephrectomy: technique and outcome, a single-center experience

Trends in kidney transplantation and living donor nephrectomy in Germany: a total population analysis from 2006 to 2021

Pure Laparoscopic Donor Nephrectomy: A Single Institution Experience From a Middle Eastern Country

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