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Updated: Jul 15, 2026
07:17
Single Port Donor Nephrectomy
Published on: March 12, 2011
Laparoscopic live donor nephrectomy: the pediatric recipient in a dual-site program
Simon Bergman1, Andrew Feifer, Liane S Feldman
1Department of Surgery, McGill University Health Centre, Montreal, QC, Canada.
Pediatric Transplantation
|May 12, 2007
Summary
A dual-site laparoscopic donor nephrectomy program shows comparable safety and outcomes for pediatric kidney transplant recipients compared to traditional open donor nephrectomy. This approach does not negatively impact graft function or survival rates.
Area of Science:
- Nephrology
- Surgical Innovation
- Transplant Surgery
Background:
- Laparoscopic live donor nephrectomy (LLDN) performed at a separate site from pediatric transplantation.
- Open donor nephrectomy (OLDN) conducted in an adjacent operating room.
- Need to assess safety of a dual-site renal transplantation program.
Purpose of the Study:
- Compare outcomes of pediatric recipients receiving kidneys from LLDN versus OLDN.
- Evaluate the safety and efficacy of a dual-site renal transplantation program.
Main Methods:
- Retrospective study of 10 pediatric recipients of LLDN and 10 pediatric recipients of OLDN.
- Assessed renal function using calculated creatinine clearance (Schwartz formula).
- Evaluated outcomes: delayed graft function, ureteral complications, acute rejection, patient and graft survival.
Main Results:
- No significant differences in recipient demographics or warm ischemia time between LLDN and OLDN groups.
- Similar 12-month postoperative creatinine clearance (88 vs. 66 ml/min/1.73 m²).
- Comparable rates of delayed graft function (0% vs. 10%), ureteral complications (20% vs. 30%), and acute rejection (20% vs. 40%).
- One-year patient and graft survival were 100% in the LLDN group and 100%/89% in the OLDN group.
Conclusions:
- A dual-site laparoscopic donor nephrectomy program is safe for pediatric kidney transplantation.
- LLDN does not lead to adverse outcomes compared to same-site OLDN.
- Dual-site approach is a viable option for renal transplantation programs.
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