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Is laparoscopic donor nephrectomy here to stay?
T Sasaki1, F Finelli, D Barhyte
1Transplantation Services, Washington Hospital Center, DC 20010, USA.
American Journal of Surgery
|June 12, 1999
Summary
Laparoscopic live donor nephrectomy is a safe procedure, yielding high-quality kidneys for transplantation. With proper training and patient selection, this technique offers excellent outcomes for donors.
Area of Science:
- Nephrology
- Transplant Surgery
- Minimally Invasive Surgery
Background:
- Open live donor nephrectomy is established as safe, providing excellent kidney quality.
- Concerns exist regarding the complexity and safety of the laparoscopic approach for live kidney donation.
Purpose of the Study:
- To evaluate the safety and efficacy of laparoscopic live donor nephrectomy.
- To assess the quality of kidneys obtained via laparoscopic donation.
Main Methods:
- Twenty-six laparoscopic live donor nephrectomies were performed between October 1997 and October 1998.
- Data collected included perioperative outcomes and recipient graft function.
Main Results:
- All transplanted kidneys demonstrated immediate function.
- Recipient serum creatinine levels were below 2.0 mg/dL at 2 months post-transplant, with one exception.
- Three complications were reported: wound infection, neuroma, and reoperation. No mortality occurred.
Conclusions:
- Laparoscopic live donor nephrectomy can be performed safely with appropriate surgical training and meticulous patient selection.
- The technique yields excellent quality donor kidneys suitable for transplantation.