Our Experience of Laparoscopic Living Donor Nephrectomy
Keywords:
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