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Updated: Jun 13, 2026
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Single Port Donor Nephrectomy
Published on: March 12, 2011
Laparoscopic right donor nephrectomy: endo TA stapler is safe and effective
Amit K Devra1, Suhag Patel, Shailesh A Shah
1Institute of Kidney Diseases and Research Centre, Ahmedabad, India. devra.amit@gmail.com
Summary
Laparoscopic donor nephrectomy using the Endo TA stapler is safe for kidney donation. This minimally invasive approach offers benefits without compromising graft quality or recipient outcomes.
Area of Science:
- Nephrology
- Transplant Surgery
- Minimally Invasive Surgery
Background:
- Laparoscopic donor nephrectomy is an alternative to open surgery.
- Concerns exist regarding graft and vessel quality, especially for right donor nephrectomy.
- Various retrieval methods are explored for optimal graft outcomes.
Purpose of the Study:
- To evaluate the initial experience with laparoscopic right donor nephrectomy.
- To compare subcostal open versus pure laparoscopic approaches using the Endo TA stapler.
- To assess graft quality and donor safety in minimally invasive procedures.
Main Methods:
- Nine laparoscopic right donor nephrectomies were performed via trans-peritoneal approach.
- Group A (n=5): Graft retrieval through subcostal incision.
- Group B (n=4): Pure laparoscopic retrieval using Endo TA stapler.
Main Results:
- No open conversions were required.
- Mean operative time and hospital stay were comparable between groups.
- Warm ischemia time was longer in the pure laparoscopic group (415s) vs. subcostal group (176s).
- Recipient serum creatinine levels at day seven were similar.
- Endo TA stapler provided adequate renal vein length without compromise.
Conclusions:
- The Endo TA stapler is safe for laparoscopic right donor nephrectomy.
- It offers the benefits of minimally invasive surgery for donors.
- This technique ensures graft quality and recipient outcomes are maintained.
