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Experience with laparoscopic donor nephrectomy at a European transplant centre
O Ostraat1, H Lönnroth, M Olausson
1Department of Transplantation and Liver Surgery, Sahlgrenska University Hospital, Göteborg, Sweden. elisabet.forsell@surgery.gu.se
Summary
Laparoscopic donor nephrectomy offers a safe and comfortable alternative for kidney donors. Patients experience less pain and a quicker return to work compared to open surgery.
Area of Science:
- Nephrology
- Minimally Invasive Surgery
- Transplant Surgery
Background:
- Live donor kidney transplantation is crucial for end-stage renal failure.
- Ensuring donor comfort and safety is paramount for successful transplantation.
Purpose of the Study:
- To evaluate the safety and efficacy of laparoscopic donor nephrectomy.
- To assess postoperative donor comfort and recovery time.
Main Methods:
- Laparoscopic nephrectomy was performed in 22 live kidney donors.
- The left kidney was preferred; one case required conversion to open surgery.
- Warm ischemia time ranged from 4 to 7.5 minutes.
Main Results:
- All patients exhibited excellent renal function with peroperative urine production.
- Postoperative shoulder pain occurred in 7 patients, managed with non-opioid analgesia.
- Discharge occurred between postoperative days 3-9, with return to work in 2-4 weeks.
Conclusions:
- Laparoscopic donor nephrectomy is a safe procedure when performed by experienced surgeons.
- This technique offers reduced postoperative discomfort and faster recovery for living kidney donors.
- Laparoscopic donor nephrectomy is a viable option for improving the living donor experience.