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Updated: Jun 20, 2026
07:17
Single Port Donor Nephrectomy
Published on: March 12, 2011
Transperitoneal laparoscopic living donor nephrectomy: 2 years' experience
S Nikeghbalian1, K Kazemi, M Salehipour
1Shiraz Transplant Center, Namazi Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.
Transplantation Proceedings
|September 22, 2009
Summary
Hand-assisted laparoscopic living donor nephrectomy (LLDN) is a safe and effective alternative to open surgery, potentially increasing organ donation rates. This minimally invasive technique offers benefits for living kidney donors and recipients.
Area of Science:
- Urology
- Transplant Surgery
- Minimally Invasive Surgery
Background:
- Growing demand for kidney transplants due to end-stage renal disease.
- Shortage of deceased donor organs necessitates increased living donation.
- Hand-assisted laparoscopic living donor nephrectomy (LLDN) offers a less invasive surgical option.
Purpose of the Study:
- To evaluate the safety and efficacy of LLDN.
- To report outcomes from a single center's experience with LLDN.
- To assess the impact of LLDN on donor and recipient results.
Main Methods:
- Retrospective review of 100 LLDNs performed between August 2006 and July 2008.
- Analysis of donor demographics, operative details, and postoperative complications.
- Evaluation of recipient biochemical data and graft outcomes.
Main Results:
- Mean operative time for LLDN was 138.3 minutes; recipient surgery averaged 87.7 minutes.
- Mean donor hospital stay was 28.3 hours with no blood transfusions or reoperations.
- Recipient creatinine and BUN levels significantly decreased post-transplant; two immunologic graft rejections occurred.
Conclusions:
- LLDN is a viable and safe alternative to open donor nephrectomy.
- This technique may encourage more individuals to become living kidney donors.
- LLDN is a preferred surgical approach in this center for living donor nephrectomy.
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