Surgical Approaches and Outcomes in Living Donor Nephrectomy: A Systematic Review and Meta-analysis

Reply to Alessio Pecoraro, Vincenzo Li Marzi, Sergio Serni, and Riccardo Campi’s Letter to the Editor re: Julia Dagnæs-Hansen, Gitte Hjartbro Kristensen, Hein V. Stroomberg, Søren Schwartz Sørensen, Martin Andreas Røder. Surgical Approaches and Outcomes in Living Donor Nephrectomy: A Systematic Review and Meta-analysis. Eur Urol Focus. In press. https://doi.org/10.1016/j.euf.2022.03.021

“…We would like to thank Pecoraro et al for their comments on our systematic review of living donor nephrectomy (LDN) [1]. The authors raise concerns regarding the heterogeneity of the complications reported.…”

Re: Julia Dagnæs-Hansen, Gitte Hjartbro Kristensen, Hein V. Stroomberg, Søren Schwartz Sørensen, Martin Andreas Røder. Surgical Approaches and Outcomes in Living Donor Nephrectomy: A Systematic Review and Meta-analysis. Eur Urol Focus. In press. https://doi.org/10.1016/j.euf.2022.03.021

“…Promotion of living-donor kidney transplantation (KT) is one of the most relevant interventions that can impact long-term recipient survival [1]. Since its first inception in 1954, surgical techniques for living-donor nephrectomy (LDN) have progressively evolved from open surgery to a variety of minimally invasive approaches [1].…”

“…Promotion of living-donor kidney transplantation (KT) is one of the most relevant interventions that can impact long-term recipient survival [1]. Since its first inception in 1954, surgical techniques for living-donor nephrectomy (LDN) have progressively evolved from open surgery to a variety of minimally invasive approaches [1]. Of note, LDN is a unique intervention on a healthy volunteer, with profound implications from both psychological and clinical standpoints; therefore, all our efforts should be focused on minimising surgical risks as well as on improving the donor's quality of life.…”

“…We read with great interest the systematic review by Dagnaes-Hansen et al [1] exploring the comparative effectiveness of several techniques for LDN and their outcomes. Regardless of surgical technique, LDN was associated with few complications and favourable 1-yr graft survival [1].…”

“…We read with great interest the systematic review by Dagnaes-Hansen et al [1] exploring the comparative effectiveness of several techniques for LDN and their outcomes. Regardless of surgical technique, LDN was associated with few complications and favourable 1-yr graft survival [1]. The authors should be commended for their rigorous systematic review that provides a foundation for contextualising the current pros and cons of different surgical approaches for such a demanding procedure as LDN.…”