Mini‐incisions by lombotomy or subcostal access in living kidney donors: a randomized trial comparing pain, safety, and quality of life

Aguiar, Wilson; Passerotti, Carlo C.; Claro, Joaquim Francisco de Almeida; Almeida, Cláudio; Gattás, Nelson; Cedenho, A.P.; Pestana, José Osmar Medina; Ortiz, Valdemar

doi:10.1111/j.1399-0012.2006.00638.x

Cited by 12 publications

(19 citation statements)

References 34 publications

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“…The contradicting results in the literature might, to some degree, be due to different surgical techniques. Our sample allowed primarily for the comparison of two open approaches and did not yield any QoL differences, which corresponds to results gained by Aguiar and colleagues . The literature finds QoL differences mostly between open and laparoscopic techniques, with more favorable results for the latter .…”

Section: Discussionmentioning

confidence: 59%

“… noted a reduction only in vitality, and Aguiar et al. did not find any changes. At six months, no changes could be noted .…”

Section: Discussionmentioning

confidence: 89%

“…For later data points, results are less consistent. At three and four months, one study noted a significant decrease in the PCS score, two studies found reductions in some physical domains, and one study did not find any change compared to the pre‐operative level. At six months, both studies covering this data point noted impairments in one and three subscales, respectively.…”

Section: Discussionmentioning

confidence: 97%

“…In recent years, some prospective research has been published, mostly using the Short-Form 36-Item Health Survey (SF-36) as an outcome measure (8)(9)(10)(11)(12)(13)(14)(15)(16)(17). The majority of the prospective studies show a significant reduction in physical as well as in mental QoL within the first post-operative weeks (10)(11)(12)(13)(14). At later data points (more than six wk post-LKD), the available results are not consistent for either physical or mental QoL.…”

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confidence: 99%

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A prospective study on living related kidney donors’ quality of life in the first year: choosing appropriate reference data

Kroencke

Fischer

Nashan

et al. 2012

Clinical Transplantation

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Prospective studies on living kidney donors' quality of life (QoL) are still rare. Most existing studies compare healthy donors with the general population, including subjects with diseases. This is the first prospective study comparing living donors' QoL with reference data of both the general population and healthy individuals. We investigated QoL, anxiety, and depression in living kidney donors (n = 79) before donation and at two post-operative data points (three months and one yr). Subsequently, data from the donors were compared with the reference data. Our results show an impaired physical QoL three months post-donation. One yr after surgery, physical QoL had returned to the pre-operative level. Neither mental QoL nor anxiety or depression showed major changes across time. Pre-operative QoL was comparable to that of healthy individuals and higher than that in the general population. Donors' perception of the recipient's health showed moderate correlations with donors' mental outcome three months after donation. In conclusion, the impact on physical QoL seems to persist for at least three months after kidney donation. It could be demonstrated that in the context of living donation, healthy individuals provide more adequate reference data. Future research needs to determine the length and the nature of the post-operative QoL impairment and further explore possible influencing factors.

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Section: Discussionmentioning

confidence: 59%

“… noted a reduction only in vitality, and Aguiar et al. did not find any changes. At six months, no changes could be noted .…”

Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 97%

mentioning

confidence: 99%

See 2 more Smart Citations

A prospective study on living related kidney donors’ quality of life in the first year: choosing appropriate reference data

Kroencke

Fischer

Nashan

et al. 2012

Clinical Transplantation

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“…[9][10][11][12][13] There are no significant differences in cost effectiveness and graft function between LDN and open-donor nephrectomy. [14][15][16] In addition, the longer warm ischemia time during LDNs shows no significant deleterious effect on graft survival. [17][18][19][20] Laparoscopic donor nephrectomy can be performed transperitoneally or retroperitoneally on either side.…”

Section: Discussionmentioning

confidence: 99%

Inguinal Incision as a Successful Route To Extract the Kidney During Laparoscopic Retroperitoneal Live-Donor Nephrectomy

Wang

Liu²,

Lin³

et al. 2013

Exp Clin Transplant

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Objectives: We sought to evaluate the advantages of an inguinal incision in extracting the kidney during retroperitoneal laparoscopic live-donor nephrectomy. Materials and Methods: From May 2008 to June 2011, fifty-eight cases of retroperitoneal live-donor nephrectomy were performed at our hospital; all data were analyzed retrospectively. All donors were grouped in a test group (n=32, inguinal incision) or a control group (n=26, lumbar incision) according to the selected graft retrieval incision. Donors were compared with regard to operative time and warm ischemia time, operative blood loss, hospital stay, cosmetic satisfaction, and incision complications. Results: All 58 cases of retroperitoneal live-donor nephrectomy were successfully accomplished, without donor death, serious complications, and conversion to open surgery. There were no differences in mean operative time, mean blood loss, mean warm ischemic time, graft function, and 1-year graft survival rate between the groups. However, in a test group, the mean hospital stay was shorter (P < .01), and the satisfaction with cosmesis was higher (P < .01). The incidence rates of abdomen asymmetry (9/28), incision hernia (4/28), wound infection (5/28), and wound faulty union (6/28) were higher in the control group than they were in the test group. Conclusions: Inguinal incision is a safe and practical graft retrieval incision in retroperitoneal laparoscopic donor nephrectomy and can be generally applied.

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Chronic pain after hand-assisted laparoscopic donor nephrectomy

Zorgdrager

Londen

Westenberg

et al. 2019

British Journal of Surgery

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Background Data on chronic pain after kidney donation are sparse. The aim of this study was to assess the incidence of chronic pain after hand‐assisted laparoscopic nephrectomy. Methods Living kidney donors who donated between 2011 and 2017 at the University Medical Centre Groningen were included. All patients underwent hand‐assisted laparoscopic donor nephrectomy. Postdonation pain and movement disabilities were assessed using the Carolinas Comfort Scale (CCS) and a visual analogue scale (VAS). The prevalence, severity of pain and the need for analgesics were reported. Results Some 333 living kidney donors with a mean age of 56 years were included. At a median of 19 (i.q.r. 10–33) months after donation, 82 donors (24·6 per cent) had a CCS score above 0, of which 58 (71 per cent) had a CCS score of at least 2 and 57 (70 per cent) reported movement limitations. Some 110 donors (33·0 per cent) had a VAS score of more than 0. Complaints mainly occurred during bending over (12·3 per cent) and exercising (12·4 per cent). Thirty‐two donors (9·7 per cent) required analgesics during follow‐up between donation and the time of measurement, and six of 82 (7 per cent) reported chronic inguinal pain. In multivariable analysis, donor age (odds ratio (OR) 0·97, 95 per cent c.i. 0·95 to 0·99; P = 0·020) and length of hospital stay (OR 1·21, 1·01 to 1·51; P = 0·041) were independently associated with chronic pain. Conclusion One‐quarter of donors experienced chronic postdonation pain or discomfort, most of which was bothersome. Younger donors and those with a longer postoperative hospital stay had more symptoms.

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Mini‐incisions by lombotomy or subcostal access in living kidney donors: a randomized trial comparing pain, safety, and quality of life

Cited by 12 publications

References 34 publications

A prospective study on living related kidney donors’ quality of life in the first year: choosing appropriate reference data

A prospective study on living related kidney donors’ quality of life in the first year: choosing appropriate reference data

Inguinal Incision as a Successful Route To Extract the Kidney During Laparoscopic Retroperitoneal Live-Donor Nephrectomy

Chronic pain after hand-assisted laparoscopic donor nephrectomy

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