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Technical considerations and pitfalls in laparoscopic live donornephrectomy.

F J Berends·P T den Hoed·H J Bonjer·G Kazemier·I van Riemsdijk·W Weimar·J N M IJzermans
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Abstract

BACKGROUND: Recent developments in laparoscopic solid organ surgery suggest a possible reduction in postoperative discomfort and disability for kidney donors. Technical aspects and the influence of surgical experience in laparoscopic donor nephrectomy were evaluated. METHODS: The clinical outcome of 57 laparoscopic donor nephrectomies (LapNx) was compared with that for a historic control group of 27 open donor nephrectomies (OpenNx). RESULTS: Three conversions to open nephrectomy (5.2%) were necessary. Postoperative complications were minor and comparable in both groups. Patients who underwent laparoscopic surgery demonstrated significantly less postoperative pain and a shorter hospital stay, but operative time and warm ischemia time were significantly longer. Graft survival after LapNx was 100% during a median follow-up period of 13 months. Operative time for LapNx decreased considerably with experience gained and seemed to be less for right nephrectomy. Stenotic ureter-bladder anastomoses occurred after LapNx in four patients during the first half year (7.0%), but this problem seemed to be resolved after modification of the technique. CONCLUSION: LapNx is associated with less postoperative discomfort and improved convalescence.

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Case-Control StudiesGraft SurvivalHumansIncidenceKidney TransplantationLaparoscopyLength of StayNephrectomyPostoperative PainProspective StudiesTreatment OutcomeComparative StudyJournal Article

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F J Berends, P T den Hoed, H J Bonjer, G Kazemier, I van Riemsdijk, W Weimar, J N M IJzermans. 2002-02-27. Technical considerations and pitfalls in laparoscopic live donornephrectomy.. https://doi.org/10.1007/s004640090078

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