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Related Concept Videos

Kidney Transplant II: Surgical Procedure01:26

Kidney 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...
Kidney Transplant I: Introduction01:28

Kidney 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...

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Related Experiment Video

Updated: May 29, 2026

Single Port Donor Nephrectomy
07:17

Single Port Donor Nephrectomy

Published on: March 12, 2011

Hand-assisted laparoscopic live donor nephrectomy - initial experience.

J Loveland1, D Liakos, C Joseph

  • 1University of the Witwatersrand and Donald Medical Centre, Johannesbirg. loveland@wol.co.za

South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
|September 22, 2011
PubMed
Summary
This summary is machine-generated.

Hand-assisted laparoscopic live donor nephrectomy (HALLDN) is a safe and effective minimally invasive technique. Our initial experience shows favorable outcomes, with HALLDN proving beneficial for high BMI patients.

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Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Transplantation Surgery

Background:

  • Minimally invasive live donor nephrectomy offers documented advantages without compromising graft function.
  • Minimal access nephrectomy is increasingly the standard of care in many surgical units.
  • The hand-assisted laparoscopic live donor nephrectomy (HALLDN) technique represents an advancement in this field.

Purpose of the Study:

  • To present the initial experience and outcomes of the hand-assisted laparoscopic live donor nephrectomy (HALLDN) technique.
  • To evaluate the safety and efficacy of HALLDN in a series of live kidney donors.
  • To assess the impact of HALLDN on operative parameters and patient recovery.

Main Methods:

  • The HALLDN procedure was performed using a trans-peritoneal approach.
  • Key outcomes measured included total operative time, warm ischemic time, and time to discharge.
  • Post-operative complications and donor mortality were meticulously recorded.

Main Results:

  • Mean total operative time was 143 minutes, with a trend towards reduction over cases.
  • Mean warm ischemic time was 188 seconds, unaffected by aberrant renal vasculature.
  • Mean time to discharge was 60 hours, with no reported surgical morbidity in this cohort.

Conclusions:

  • The HALLDN technique demonstrates favorable outcomes comparable to existing literature.
  • HALLDN is particularly beneficial for live kidney donors with a high body mass index (BMI).
  • Surgical experience, potentially enhanced by animal model training, is crucial for mastering HALLDN.