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Updated: Jun 12, 2026
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Single Port Donor Nephrectomy
Published on: March 12, 2011
Subcostal mini incision: a good option for donor nephrectomy.
Hideki Kanashiro1, Renato Falci, Affonso Celso Piovisan
1Department of Urology, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil. hkanashiro@uol.com.br
Clinics (Sao Paulo, Brazil)
|June 11, 2010
Summary
Minimally invasive donor nephrectomy using a subcostal mini incision is safe and effective. This technique offers a short hospital stay and few complications, making it comparable to traditional methods for kidney donation.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Transplantation Surgery
Background:
- Living donor renal transplantation is increasingly encouraged.
- Minimally invasive surgical approaches for donor nephrectomy are gaining acceptance.
- The mini-incision approach is one such advanced technique.
Purpose of the Study:
- To evaluate the outcomes of donor nephrectomies performed using a subcostal mini incision.
- To assess the safety and efficacy of this minimally invasive technique.
Main Methods:
- Prospective analysis of 117 consecutive donors undergoing subcostal mini-incision nephrectomy.
- Evaluation of surgical time, ischemia times, complications, hospital stay, and donor renal function.
- Monitoring for infection, bleeding, need for reoperation, and mortality.
Main Results:
- Mean surgical time was 180.5 minutes.
- Mean warm ischemia time was 93 seconds; mean cold ischemia time was 85.9 minutes.
- Low complication rates: 0.85% abscess, 0.85% proteinuria, 1.7% transient creatinine increase; only 2 reoperations.
Conclusions:
- Subcostal mini-incision nephrectomy does not increase surgical time or complications compared to conventional methods.
- Successful organ preparation with brief warm ischemia time.
- Short hospital stays and minimal surgical complications demonstrate safety and efficacy.
