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Updated: Jul 8, 2026
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Single Port Donor Nephrectomy
Published on: March 12, 2011
Laparoscopic living donor nephrectomy: a single-center sequential experience comparing hand-assisted versus standard
Burak Kocak1, Talia B Baker, Alan J Koffron
1Department of Urology, Ondokuzmayis University School of Medicine, Samsun, Turkey. burak_kocak@yahoo.com
Urology
|December 26, 2007
Summary
Hand-assisted laparoscopic donor nephrectomy (HALDN) and standard laparoscopic donor nephrectomy (LDN) are safe and effective kidney donation procedures. HALDN offers a comparable recovery and complication profile to LDN.
Area of Science:
- Urology
- Nephrology
- Minimally Invasive Surgery
Background:
- Laparoscopic donor nephrectomy (LDN) has become a standard for kidney donation.
- Hand-assisted LDN (HALDN) is an alternative technique utilizing a specialized device.
- Comparing outcomes between LDN and HALDN is crucial for surgical decision-making.
Purpose of the Study:
- To compare donor and recipient outcomes between laparoscopic donor nephrectomy (LDN) and hand-assisted LDN (HALDN).
- To analyze an 8-year institutional experience with both surgical techniques.
Main Methods:
- Retrospective comparison of 482 LDNs and 318 HALDNs.
- Data collected included donor demographics, length of stay, serum creatinine, and complication rates.
- All HALDN procedures used hand-assist devices.
Main Results:
- Hospital length of stay was longer for LDN (1.6 days) compared to HALDN (1.2 days).
- Conversion rates were higher for LDN (1.9%) than HALDN (0.6%).
- Intraoperative and postoperative complication rates were similar between LDN and HALDN.
Conclusions:
- Both LDN and HALDN are safe and effective for kidney donation.
- HALDN does not increase incisional morbidity, postoperative ileus, or delayed graft function.
- HALDN provides a recovery comparable to standard LDN.
