Laparoscopic donor nephrectomy: single-center experience.

Abstract:

OBJECTIVE:Laparoscopic living donor nephrectomy (LLDN) has become the standard procedure for renal transplantation. This technique is considered less invasive for the donor, allowing lower postoperative analgesic requirements and a faster return to daily activities. In Japan, 1123 renal transplantation were performed in 2009. And, almost 83% were living related procedures. The aim of this study was a retrospective assessment of the safety and outcomes of LLDN on renal transplantations. MATERIAL AND METHODS:We retrospectively analyzed the intraoperative data and surgical complications for 21 patients who underwent retroperitoneoscopic living donor nephrectomy between June 2009 and March 2011. RESULTS:LLDN was successfully completed in all patients, without conversion to open surgery. Mean operative time was 243.5 ± 46.0 minutes with an average blood loss of 46.0 ± 46.1 mL. Warm ischemic time was 2.1 ± 0.62 minutes. Hospital stay was 11.1 ± 2.7 days. There were no major donor complications. One patient presented a wound infection responding to conservative treatment. CONCLUSIONS:LLDN is a safe effective procedure. The vascular stapler is useful to manage the renal vessels.

journal_name

Transplant Proc

authors

Hayashi T,Nose K,Nozawa M,Nishioka T,Yoshimura K,Ishii T,Uemura H

doi

10.1016/j.transproceed.2011.11.039

subject

Has Abstract

pub_date

2012-01-01 00:00:00

pages

30-1

issue

1

eissn

0041-1345

issn

1873-2623

pii

S0041-1345(11)01636-8

journal_volume

44

pub_type

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