Related Experiment Video
Updated: Jul 18, 2026
Robot-Assisted Kidney Transplantation
Published on: July 19, 2021
Comparison of techniques of vascular control in laparoscopic donor nephrectomy: The leicester experience
M Kaushik1, A Bagul, P J Yates
1Department of Cardiovascular Sciences, Transplant Group, University Hospitals of Leicester, Leicester General Hospital, Leicester, LE5 4PW, United Kingdom.
Background:
The objective of this study was to compare the safety and efficacy of three different methods to secure the renal vessels during laparoscopic donor nephrectomy (LDN).
Methods:
Vessel lengths and intraoperative vascular complications were compared in a prospective series of 106 LDNs in which the vessels had been secured using a stapling device, metal clips, or polymer clips.
Results:
One hundred six patients underwent LDN (right = 25, left = 81). Renal vein lengths were not significantly different after stapling or using polymer clips (36 +/- 10 vs 37 +/- 9 mm; P = .463). Renal arterial length was shorter after stapling (30 +/- 7 mm) compared with both endoclips (34 +/- 10 mm; P = .030) and polymer clips (34 +/- 8 mm; P = .030). There was one major arterial bleed in the endoclip group, one episode of stapler malfunction, but no adverse events with polymer clips.
Conclusion:
Polymer clips are safe and yield greater vessel lengths during LDN.
