Our Experience of Laparoscopic Living Donor Nephrectomy
DOI:
https://doi.org/10.17140/NPOJ-7-128Keywords:
Renal transplant; Kidney transplantation; Living donor; Laparoscopy; Warm ischemia timeAbstract
Background
Donor nephrectomy for living donor kidney transplantation using minimally invasive techniques is a safe procedure that has been
used for more than 20 years with excellent results. The total minimally invasive approach offers decreased postoperative pain, better cosmesis, a lower chance of incisional hernia, and a faster recovery time.
Methods
We present the results of a series of 120 laparoscopic donor nephrectomies performed at our center. The procedures were performed with transperitoneal access using the standard five ports. The main renal artery and vein were ligated using a hemo-o-lock
clip. The specimen was extracted through the additional inguinal incision.
Results
All procedures were performed laparoscopically without conversion to open surgery. The average warm ischemia time was 4.0
min. In all recipients, immediate kidney allograft function was seen.
Conclusion
Total laparoscopic living donor nephrectomy is a safe procedure that gives the hig
References
Moore DR, Serur D, Rudow DL, et al. Living donor kidney transplantation: Improving efficiencies in live kidney donor evaluation--recommendations from a consensus conference. Clin J Am Soc Nephrol. 2015; 10(9): 1678-1686. doi: 10.2215/ CJN.01040115
Zaytoun O, Elsawy M, Ateba K, Khalifa A, Hamdy A, Mostafa A. Laparoscopic donor nephrectomy: Technique and outcome, a single-center experience. Afr J Urol. 2021; 27: 151. doi: 10.1186/ s12301-021-00254-7
Cimen S, Guler S, Alwayn I, Lawen J, Kiberd B. Correlation of surgical times with laparoscopic live donor kidney transplant outcomes. Open J Organ Transpl Surg. 2013; 3: 68-72. doi: 10.4236/ ojots.2013.34014
Kok NF, Weimar W, Alwayn IP, Ijzermans JN. The current practice of live donor nephrectomy in Europe. Transplantation. 2006; 82: 892-897. doi: 10.1097/01.tp.0000235511.19629.0d
Al-Oraifi I, Tawfeeq M, Al-Hellow H et al. Laparoscopic donor nephrectomy of dual renal artery kidneys: Single center experience. Chirurgia (Bucur). 2017; 112: 124-129. doi: 10.21614/ chirurgia.112.2.124
Chung E, Grant AB, Hibberd AD, Sprott P. Why potential live Observational Study | Volume 7 | Number 1 | Shah SJ, et al renal donors prefer laparoscopic nephrectomy: A survey of live donor attitudes. BJU Int. 2007; 100: 1344-1346. doi: 10.1111/j.1464- 410X.2007.07126.x
Sozener U. Laparoscopic live donor nephrectomy: Single-center experience of 200 consecutive cases. J Laparoendosc Adv Surg Tech A. 2021; 31(6): 627-631. doi: 10.1089/lap.2020.0545
Cho SJ, Moon HW, Kang SM, et al. Evolution of laparoscopic donor nephrectomy techniques and outcomes: A single-center experience with more than 1000 cases. Ann Transplant. 2020; 25: e918189. doi: 10.12659/AOT.918189
Kute VB, Vanikar AV, Shah PR, et al. Outcome of live and deceased donor renaltransplantation in patients aged 55 years: A single-centerexperience. Indian J Nephrol. 2014; 24: 9-14. doi:
4103/0971-4065.125049 10. Tsoulfas G, Agorastou P, Ko DS, et al. Laparoscopic open donor nephrectomy: Lessons learnt from single academic center experience. World J Nephrol. 2017; 6: 45-52. doi: 10.5527/wjn.v6.i1.45
Ponsky L, Cherullo E, Moinzadeh A, et al. The Hem-o-lok clip is safe for laparoscopic nephrectomy: A multi-institutional review. Urology. 2008; 71(4): 593-596. doi: 10.1016/j.urology.2007.11.015
Liu Y, Huang Z, Chen Y, et al. Staplers or clips?: A systematic review and meta-analysis of vessel controlling devices for renal pedicle ligation in laparoscopic live donor nephrectomy. Medicine (Baltimore). 2018; 97(45): e13116. doi: 10.1097/ MD.0000000000013116
Mohsin R, Shehzad A, Bajracharya U, et al. Laparoscopic donor nephrectomy: Early experience at a single center in Pakistan. Exp Clin Transplant. 2018; 16(2): 138-142. doi: 10.6002/ect.2016.0333
Carrión DM, Gómez Rivas J, Aguilera Bazán A, et al. Laparoscopic donor nephrectomy versus open donor nephrectomy: outcomes from a single transplant center. Arch Esp Urol. 2019; 72(5): 508-514.
Wang L, Zhu L, Xie X, et al. Long-term outcomes of laparoscopic versus open donor nephrectomy for kidney transplantation: A meta-analysis. Am J Transl Res. 2020; 12(10): 5993-6002.
Vernadakis S, Marinaki S, Darema M, et al. The evolution of living donor nephrectomy program at a hellenic transplant center. Laparoscopic vs. open donor nephrectomy: Single-center experience. J Clin Med. 2021; 10(6): 1195. doi: 10.3390/ jcm10061195
Lentine KL, Lam NN, Segev DL. Risks of living kidney donation: Current state of knowledge on outcomes important to donors. Clin J Am Soc Nephrol. 2019; 14(4): 597-608. doi: 10.2215/ CJN.11220918
Benjamens S, van den Berg TAJ, Lange JFM, Pol RA. Living donor hand-assisted laparoscopic nephrectomy in a healthy individual with situs inversus totalis: No need to turn down the donor. BMJ Case Rep. 2020; 13(1): e233523. doi: 10.1136/bcr-2019-233523
Kakos CD, Papanikolaou A, Ziogas IA, Tsoulfas G. Global dissemination of minimally invasive living donor hepatectomy: What are the barriers? World J Gastrointest Surg. 2023; 15(5): 776- Submit your article to this journal | https://openventio.org/submit-manuscript/ 787. doi: 10.4240/wjgs.v15.i5.776
Thuluvath AJ, Peipert J, Berkowitz R, et al. Donor quality of life after living donor liver transplantation: A review of the literature. Dig Med Res. 2021; 4: 49. doi: 10.21037/dmr-20-151
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
All content published in Nephrology (NOJ) is licensed under the Creative Commons Attribution 4.0 International License (CC BY 4.0). This license allows anyone to copy, distribute, transmit, and adapt the work — including for commercial purposes — provided appropriate credit is given to the original author(s) and source.