Related Experiment Video
Updated: Jun 2, 2026
07:17
Single Port Donor Nephrectomy
Published on: March 12, 2011
Open versus laparoscopic donor nephrectomy: perioperative parameters and graft functions.
M Altinel1, S Akinci, Z E Gunes
1Turkiye Yuksek Ihtisas Hospital, Ankara, Turkey. mertaltinel@yahoo.com
Transplantation Proceedings
|April 14, 2011
Summary
Laparoscopic live donor nephrectomy (LLDN) offers advantages over open live donor nephrectomy (OLDN), including shorter operative times and hospital stays. Despite longer warm ischemia times, LLDN did not negatively impact graft function in recipients.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Transplant Surgery
Background:
- Laparoscopic donor nephrectomy has largely replaced open procedures.
- Comparison of outcomes between laparoscopic live donor nephrectomy (LLDN) and open live donor nephrectomy (OLDN) is crucial.
Purpose of the Study:
- To compare the outcomes of LLDN and OLDN performed at our institute.
- To evaluate the efficacy and safety of LLDN versus OLDN in live kidney donors.
Main Methods:
- Retrospective, age- and gender-matched case-controlled study.
- Inclusion of patients who underwent OLDN (July 2006-August 2008) or LLDN (August 2008-July 2010).
- Detailed comparison of surgical techniques, operative parameters, and patient outcomes.
Main Results:
- LLDN group (31 patients) showed significantly shorter operative times (101 vs. 110 min) and hospital stays (2.6 vs. 3.8 days) compared to OLDN (30 patients).
- LLDN resulted in less estimated blood loss (15 vs. 35 mL).
- No conversions to open surgery were noted in the LLDN group; recipient graft function at 1 week was similar.
Conclusions:
- LLDN is superior to OLDN regarding operative time, blood loss, and length of hospital stay.
- Increased warm ischemia time in LLDN did not adversely affect early graft function.
- LLDN represents an effective and safe alternative to OLDN for live kidney donation.
Related Concept Videos
01:26Kidney Transplant II: Surgical Procedure
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living donor...
01:28Kidney Transplant I: Introduction
A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
01:16Kidney Transplant III: Nursing Management
Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...