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Updated: Jun 10, 2026
07:17
Single Port Donor Nephrectomy
Published on: March 12, 2011
Retroperitoneoscopic living donor nephrectomy: initial experience with a unique hand-assisted approach
J-P Capolicchio1, A Feifer, M K Plante
1Department of Surgery, McGill University Health Centre, Montreal, QC, Canada. jp.capolicchio@muhc.mcgill.ca
Clinical Transplantation
|July 20, 2010
Summary
Hand-assisted retroperitoneoscopic live donor nephrectomy (HARP-LDN) offers a safe and effective alternative for kidney donation. This technique may reduce the learning curve associated with retroperitoneoscopic live donor nephrectomy.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Transplantation Surgery
Background:
- Retroperitoneoscopic (RP) live donor nephrectomy (LDN) offers donor advantages but has a steep learning curve.
- Hand-assistance (HA) may mitigate the challenges of the RP approach.
Purpose of the Study:
- To present the initial experience with a novel hand-assist approach to retroperitoneoscopic live donor nephrectomy (HARP-LDN).
Main Methods:
- A consecutive series of 10 patients underwent left HARP-LDN over one year.
- The technique involved a 7 cm muscle-sparing incision for a hand-port and two endoscopic ports.
Main Results:
- Mean operative time was 155 minutes with no open conversions.
- Mean blood loss was 68 mL, and warm ischemia time was 2.5 minutes.
- Average hospital stay was 2.7 days with minimal complications.
Conclusions:
- The modified HARP approach for left LDN is safe, effective, and expeditious.
- Larger studies are needed to confirm the benefits of this hand-assisted retroperitoneal technique.
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