Evolution of Technique in Laparoscopic Donor Nephrectomy: A Single Center Experience

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Davide CintorinoSalvatore Gruttadauria

Abstract

Renal transplantation is the most successful therapy for improving survival and quality of life for end-stage renal disease (ESRD). Living donor kidney transplantation (LDKTx) has been used as an alternative to reduce the stay on the waiting list of patients with ESRD. Laparoscopic donor nephrectomy (LDN) has become the standard procedure for LDKTx. This study aims to describe evolution of surgical technique with LDN at our institute. We retrospectively analyzed our experience with LDN performed from January, 2003 to November, 2016, focusing on describing modifications of the surgical technique and devices made during those years. Demographics, operative factors, and postoperative complications of donors were reviewed. From the beginning of our experience with LDKTx we have performed 185 cases. From 2003 to 2016, 144 LDN were performed. Modifying our technique in response to the learning curve, complications encountered, and technological advancements, we experienced low complication rates. Continual refinement with LDN techniques based on intraoperative observations and technological advances is necessary to keep complication rates low and reduce donor morbidity and time for recovery.

References

Oct 3, 1992·Lancet·J S NajarianA J Matas
Nov 14, 1997·Transplantation·E M JohnsonA J Matas
Nov 4, 1998·Urology·J S WolfR M Merion
Jun 3, 2005·Journal of the American Society of Nephrology : JASN·Connie L Davis, Francis L Delmonico
Dec 24, 2005·Annals of Surgery·Amy L FriedmanLloyd E Ratner
May 16, 2006·Urology·Burak KocakJoseph R Leventhal
Feb 20, 2009·Kidney International·Lucy Diane HorvatUNKNOWN Donor Nephrectomy Outcomes Research (DONOR) Network
Apr 3, 2015·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·S JankiF J M F Dor
Jun 20, 2015·Lancet·Peter P ReeseAmit X Garg

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Citations

Sep 19, 2019·Experimental and Clinical Transplantation : Official Journal of the Middle East Society for Organ Transplantation·Rauf ShahbazovNadey Hakim
Jan 1, 2020·Transplantation Proceedings·Yenny Baez-SuarezFernando Giron-Luque
Sep 16, 2020·Transplantation Proceedings·Ulas Sozener

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