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Updated: Jul 14, 2026
07:17
Single Port Donor Nephrectomy
Published on: March 12, 2011
Laparoscopic hand-assisted living donor nephrectomy: the Calgary experience
A Salazar1, S Yilmaz, M Monroy
1Department of Surgery, Division of Transplantation, Foothills Medical Centre, Calgary, Alberta, Canada. anastasio.salazar@calgaryhealthregion.ca
Transplantation Proceedings
|November 13, 2003
Summary
Hand-assisted live donor nephrectomy (HALDN) offers a safe alternative to open surgery, potentially increasing living kidney donation. Early results show comparable short-term outcomes for donors, recipients, and graft survival.
Area of Science:
- Nephrology
- Minimally Invasive Surgery
- Transplantation
Background:
- Laparoscopic techniques, including hand-assisted live donor nephrectomy (HALDN), aim to increase living kidney donor numbers.
- Acceptability of HALDN requires matching donor, recipient, and graft survival standards set by open nephrectomy.
Purpose of the Study:
- To evaluate the safety and short-term outcomes of the first 20 hand-assisted live donor nephrectomy procedures at our center.
- To compare HALDN outcomes with established results from the open surgical technique.
Main Methods:
- Prospective analysis of 20 consecutive HALDN procedures.
- Data collection on donor demographics, operative time, complications, and postoperative stay.
- Assessment of recipient and graft outcomes, including function and survival.
Main Results:
- Mean operative time was 174 minutes; one conversion to open surgery was required.
- All 20 kidneys were successfully implanted with no primary nonfunction or delayed graft function.
- No surgical complications in donors or recipients; postoperative stay ranged from 3 to 5 days.
Conclusions:
- Hand-assisted live donor nephrectomy is a safe procedure with short-term outcomes comparable to the open technique.
- HALDN demonstrates promising results for donor, recipient, and graft survival, supporting its potential to expand the living donor pool.
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