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Utilizing a 3D Printed Laparoscopic Nissen Fundoplication Model to Shorten a Resident's Learning Curve
Published on: August 15, 2025
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Hand-assisted laparoscopic donor nephrectomy. Ascending the learning curve.
W A Bemelman1, R C van Doorn, L T de Wit
1Department of Surgery, Academic Medical Center, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands. w.a.bemelman@amc.uva.nl
Surgical Endoscopy
|May 17, 2001
Summary
Hand-assisted laparoscopic donor nephrectomy (LDN) offers a faster learning curve and shorter operation times. This approach significantly reduces warm ischemia time compared to conventional LDN.
Area of Science:
- Nephrology
- Minimally Invasive Surgery
- Transplantation
Background:
- The hand-assisted approach to laparoscopic donor nephrectomy (LDN) may reduce the learning curve, operation time, and warm ischemia time.
- Initial results of hand-assisted LDN are presented and compared to existing literature.
Purpose of the Study:
- To evaluate the efficacy of the hand-assisted approach in laparoscopic donor nephrectomy.
- To compare operative outcomes of hand-assisted LDN with conventional methods.
Main Methods:
- Ten hand-assisted LDNs of the right kidney were performed between January and September 2000.
- Data collected included operation time, warm ischemia time, and postoperative complications.
Main Results:
- Median operation time was 140 minutes (range, 120-400 min).
- Median warm ischemia time was 2.5 minutes (range, 1-4 min).
- No conversions to open surgery were required; one urinary tract infection was the primary postoperative morbidity.
Conclusions:
- The hand-assisted approach significantly reduces operation time and warm ischemia time.
- These benefits are evident even early in the learning curve for hand-assisted LDN compared to conventional LDN.
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