[The way to establish laparoscopic donor nephrectomy as the method of choice in live kidney donation--a single centre experience].

Abstract:

INTRODUCTION:In contrast to the USA, laparoscopic donor nephrectomy is rarely practised in German transplant centres. Safety concerns and difficulties with the learning curve of this advanced laparoscopic procedure are the main obstacles to the establishment of this operation. PATIENTS AND METHODS:From 1998-2005, we performed laparoscopic kidney procurement in 50 live kidney donors on an intention to treat basis harvesting a total of 29 left and 21 right kidneys for transplantation. RESULTS:Negative adverse effects on the donor side were temporary nerve irritation (2 patients) and postoperative retroperitoneal hematoma. Reasons to convert to open nephrectomy were bleeding (2 patients) and adhesions (1 patient). On the recipient side, one kidney was lost due to renal vein thrombosis. Three patients required short-time dialysis after transplantation. All other kidney transplants worked without any problems. CONCLUSION:Laparoscopic donor nephrectomy is a safe procedure and has been established as the method of choice for live kidney donation in our hospital.

journal_name

Zentralbl Chir

authors

Saad S,Arns W,Paul A,Nagelschmidt M,Heiss M,Treckmann J

doi

10.1055/s-2008-1004740

subject

Has Abstract

pub_date

2008-04-01 00:00:00

pages

188-92

issue

2

eissn

0044-409X

issn

1438-9592

journal_volume

133

pub_type

杂志文章
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