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Updated: Jul 5, 2026
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Single Port Donor Nephrectomy
Published on: March 12, 2011
Hand-assisted laparoscopic donor nephrectomy: comparison to pure laparoscopic donor nephrectomy
L S Percegona1, A T Bignelli, A Adamy
1Transplant Unit, Hospital Santa Casa de Misericórdia de Curitiba, Curitiba, Paraná, Brazil. l.percegona@pucpr.br
Transplantation Proceedings
|May 6, 2008
Summary
Hand-assisted laparoscopic donor nephrectomy (HALDN) and standard laparoscopic donor nephrectomy (LDN) show similar outcomes. However, LDN may offer slightly better results and lower costs for kidney donation procedures.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Transplantation
Background:
- Laparoscopic donor nephrectomy (LDN) is a standard procedure for kidney donation.
- Hand-assisted laparoscopic donor nephrectomy (HALDN) is proposed as a simpler alternative to standard LDN.
Purpose of the Study:
- To compare the outcomes of hand-assisted laparoscopic donor nephrectomy (HALDN) with pure laparoscopic donor nephrectomy (LDN).
Main Methods:
- Retrospective analysis of 55 kidney donor nephrectomy cases.
- Comparison between 21 HALDN procedures and 34 pure LDN procedures.
- Evaluation of operative time, warm ischemic time (WIT), blood loss, complications, and postoperative stay.
Main Results:
- No significant differences were observed in operative time, WIT, or complication rates between HALDN and LDN groups.
- The HALDN group experienced a 28.6% complication rate, while the LDN group had an 8.8% complication rate.
- A trend towards better outcomes and lower costs was noted in the LDN group.
Conclusions:
- Both HALDN and LDN are viable techniques for kidney donor nephrectomy.
- Pure LDN may offer a slight advantage in terms of outcomes and cost-effectiveness compared to HALDN.
