Laparoscopic donor nephrectomy - safety in a small-volume transplant center

Clinical Transplantation
Julie RileyStephen Weinstein

Abstract

Laparoscopy is a standard surgical option for live donor nephrectomy (LDN) at the majority of transplant centers. Equivalent graft survival with shorter convalescence has been reported by several large volume centers. With the arrival of an experienced laparoscopic surgeon in 2002, we began to offer laparoscopic LDN at our institution. We report our experience as a large volume laparoscopic surgery program but a low volume transplant center. A retrospective review of the previous 34 LDN (17 open, 17 laparoscopic) performed at the University of Missouri were included. A single laparoscopic surgeon performed all laparoscopic procedures. Hand assisted laparoscopy was performed in 15 and standard laparoscopy with a pfannenstiel incision in two. Open procedures were performed through anterior subcostal or flank incision. A single surgeon performed all open procedures. There was no statistical difference in age, body mass index or American Society of Anesthesiologies Score between the two groups. Mean operative time, estimated blood loss and hospital stay were 229 minutes, 324 cc and 2.2 days respectively in the laparoscopic group compared to 202 minutes, 440 cc and five days for the open group. Average warm ischemia time was 179 sec...Continue Reading

References

Sep 17, 1999·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·L E RatnerL R Kavoussi
Aug 2, 2002·Transplantation·Ergun VelidedeogluJames F Markmann
Dec 11, 2003·The Journal of Urology·Stephen C JacobsStephen T Bartlett
Aug 19, 2004·Transplantation·Rebecca L TooherGuy J Maddern
Nov 13, 2004·The Journal of Urology·Mahesh C GoelAndrew C Novick
Jun 19, 2007·Urology·Brent K HollenbeckJ Stuart Wolf
Dec 25, 2007·Annals of Surgery·Theodore G NanidisVassilios E Papalois

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