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Related Experiment Videos

More than 500 consecutive laparoscopic donor nephrectomies without conversion or repeated surgery.

Marc L Melcher1, Jonathan T Carter, Andrew Posselt

  • 1Division of Transplantation Surgery, University of California-San Francisco, 94143, USA.

Archives of Surgery (Chicago, Ill. : 1960)
|September 21, 2005
PubMed
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Laparoscopic donor nephrectomy (LDN) is a safe procedure for kidney donation, comparable to open surgery. This study found minimal bleeding and few complications in 530 donors, demonstrating LDN

Area of Science:

  • Nephrology
  • Surgical Innovation
  • Transplant Surgery

Background:

  • Concerns exist regarding the safety of laparoscopic donor nephrectomy (LDN) compared to open donor nephrectomy.
  • Reported complications include emergent conversion, reoperation for bleeding, and mortality.

Purpose of the Study:

  • To evaluate the safety and efficacy of laparoscopic donor nephrectomy (LDN).
  • To compare the complication rate of LDN with open donor nephrectomy.

Main Methods:

  • A case series of 530 kidney donors undergoing LDN without hand assistance.
  • Kidney extraction was performed through a low transverse incision.
  • Data collected included operative time, transfusion requirements, and intraoperative/postoperative complications.

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Main Results:

  • The study included donors with varying characteristics, including high BMI and complex vascular anatomy.
  • Mean operative time was 196 minutes; only one conversion occurred early in the series.
  • The overall complication rate was 6.4%, with no donor deaths and a low rate of perioperative blood transfusions (0.9%).

Conclusions:

  • Laparoscopic donor nephrectomy (LDN) can be performed as safely as open donor nephrectomy.
  • LDN is associated with minimal bleeding and a low incidence of postoperative complications.