Laparoscopic Live Donor Nephrectomy: The University of Maryland 3-Year Experience

Jacobs, Stephen C.; CHO, EUGENE; Dunkin, Brian J.; Flowers, John L.; Schweitzer, Eugene J.; Cangro, Charles B.; Fink, Jeffrey C.; Farney, Alan C.; Philosophe, Benjamin; Jarrell, Bruce E.; Bartlett, Stephen T.

doi:10.1097/00005392-200011000-00009

Cited by 49 publications

(65 citation statements)

References 5 publications

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“…A review of previously published series (8)(9)(10)(16)(17)(18) showed that operative times ranged from 183 to 230 min for laparoscopic donor nephrectomies, and from 183 to 213 for open donor nephrectomies. Estimated blood loss ranged from 122 to 266 mL for laparoscopic procurements, and from 192 to 408 mL for open approaches.…”

Section: Patient #5mentioning

confidence: 99%

Concomitant Surgery With Laparoscopic Live Donor Nephrectomy

Molmenti

Pinto

Montgomery

et al. 2003

American Journal of Transplantation

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Routine live donor evaluations reveal unexpected silent pathologies. Herein, we describe our experience treating such pathologies at the time of laparoscopic donor nephrectomy. We have not encountered any previous reports of such an approach. We prospectively collected data on 321 donors. Concomitant surgeries at the time of procurement included two laparoscopic adrenalectomies, one colposuspension, one laparoscopic cholecystectomy, and one liver biopsy. Mean operative time was 321 min (range 230-380), with a mean blood loss of 280 mL (range 150-500). No blood transfusions were required. The left kidney was procured in four cases. The right kidney was obtained on one occasion. Mean hospital stay was 3 days (median 3, range 2-4). No short-or longterm complications have been identified. Mean follow-up time was 2.63 years (median 2.76, range 2.23-2.99). Four of the five kidney recipients were firsttime transplants who had not yet started dialysis. Simultaneous surgical interventions at the time of laparoscopic live kidney donation are safe and can be undertaken in selected cases. This practice is beneficial to both the donor and the recipient, and is likely to become more commonplace with changing practice patterns involving donor evaluation and management.

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Section: Patient #5mentioning

confidence: 99%

Concomitant Surgery With Laparoscopic Live Donor Nephrectomy

Molmenti

Pinto

Montgomery

et al. 2003

American Journal of Transplantation

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“…However, in a randomized study, longer LDN operative times [15] In one study average operative time was reportedly 60 minutes shorter in open DN. [16] The mean duration of our LDN was 115±11 (min-max: 90-150) minutes. We attribute our shorter operative time to our ample experience in laparoscopy.…”

Section: Discussionmentioning

confidence: 89%

Laparoscopic donor nephrectomy, complications and management: a single center experience

Tuğcu

Şahin

Yiğitbaşı

et al. 2017

Turkish Journal of Urology

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Objective: To present our experience with laparoscopic donor nephrectomy (LDN), our complications and management modalities. Material and methods:Fifty-one transperitoneal LDNs performed in our clinic between the years 2011, and 2015, were evaluated retrospectively. Demographic characteristics of the patients, operative and postoperative data and complications were evaluated.Results: Nineteen female and 32 male patients with ages ranging from 24 to 65 years underwent left-(n=44), and right-sided (n=7) LDNs. Six patients had two, and one patient three renal arteries. Mean operation time was 115±11 (min-max: 90-150) minutes, and mean warm ischemia time 111±9 (min-max: 90-140 sec) seconds. Mean hospital stay was found to be 2.5±0.5 days. No patient needed to switch to open surgery. In one patient, lumbar vein was ruptured, and hemostatic control was achieved laparoscopically. Postoperative paralytic ileus developed in two patients. Three patients had postoperative atelectasis, and a febrile (38.1 o C) episode. Conclusion:LDN is a minimally invasive method with advantages of short hospital stay, less analgesic requirement, and better cosmetic results. However it should be performed by surgeons with advanced laparoscopic experience.

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“…With the improvement of surgical techniques, many studies have demonstrated higher safety for the donor and good graft function for the recipient (3,13). Despite the left side being preferred in relation to the right side due to the length of the renal vein, there are indications for performing the surgery on the right side, such as multiple renal arteries on the left side, a cyst in the right kidney and an anomalous or smaller right kidney.…”

Section: Commentsmentioning

confidence: 99%

“…In 2000, Jacobs et al, with the shortest warm ischemia time possible, achieved functional results equivalent to open techniques (3). With the laparoscopic nephrectomy, the number of transplanted kidneys derived from living donors increased significantly (15% in Germany and 25% in the United States) (4).…”

Section: Introductionmentioning

confidence: 99%

Hand-assisted right laparoscopic nephrectomy in living donor

et al. 2005

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Objective: To assess results obtained with the authors' technique of right hand-assisted laparoscopic nephrectomy in living kidney donors.Materials and Methods: We retrospectively analyzed 16 kidney donors who underwent handassisted right laparoscopic nephrectomy from February 2001 to July 2004. Among these patients, 7 were male and 9 were female, with mean age ranging between 22 and 58 years (mean 35.75).Results: Surgical time ranged from 55 to 210 minutes (mean 127.81 min) and warm ischemia time from 2 to 6 minutes (mean 3.78 min) with mean intra-operative blood loss estimated at 90.62 mL. There was no need for conversion in any case. Discharge from hospital occurred between the 3rd and 6th days (mean 3.81). On the graft assessment, immediate diuresis was seen in 15 cases (93.75%) and serum creatinine on the 7th post-operative day was 1.60 mg/dL on average. Renal vein thrombosis occurred in 1 patient (6.25%) who required graft removal, and lymphocele was seen in 1 recipient (6.25%).Conclusion: Hand-assisted right laparoscopic nephrectomy in living donors is a safe and effective alternative to open nephrectomy. Despite a greater technical difficulty, the procedure presented low postoperative morbidity providing good morphological and functional quality of the graft on the recipient.

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Laparoscopic Live Donor Nephrectomy: The University of Maryland 3-Year Experience

Abstract: Laparoscopic donor nephrectomy appears to be safe and decreases morbidity in the renal donor. Allograft function is comparable to that in open nephrectomy series. The availability of laparoscopic harvesting may be increasing the living donor volunteer pool.

Cited by 49 publications

References 5 publications

Concomitant Surgery With Laparoscopic Live Donor Nephrectomy

Concomitant Surgery With Laparoscopic Live Donor Nephrectomy

Laparoscopic donor nephrectomy, complications and management: a single center experience

Hand-assisted right laparoscopic nephrectomy in living donor

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