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Robot-Assisted Kidney Transplantation
Published on: July 19, 2021
Hand-assisted technique facilitates preserving graft viability in laparoscopic donor nephrectomy
Y Marui1, M Nakamura, K Tanaka
1Department of Transplant Surgery, Nephrology Center, Toranomon Hospital Kajigaya, Kanagawa, Japan. yuhjimarui@toranomon.gr.jp
Transplantation Proceedings
|February 8, 2012
Summary
Hand-assisted laparoscopic donor nephrectomy (HALDoN) is a safe and effective technique for living kidney donation. This method enhances surgeon confidence and preserves graft viability with minimal complications.
Area of Science:
- Minimally Invasive Surgery
- Nephrology
- Transplant Surgery
Background:
- Living kidney donor nephrectomy aims for patient safety and minimal operative invasion.
- Hand-assisted laparoscopic donor nephrectomy (HALDoN) has been performed since 2006 to achieve these goals.
Purpose of the Study:
- To evaluate the utility and technique of hand-assisted laparoscopic donor nephrectomy (HALDoN).
Main Methods:
- Analysis of 72 donors who underwent HALDoN between February 2008 and August 2011.
- Included right nephrectomies; all procedures were completed laparoscopically without conversion to open surgery.
Main Results:
- No delayed graft function or ureteric problems in recipients.
- Longer knife-to-removal time (KRT) observed with graft weight >200g and for right nephrectomies.
- 8.3% complication rate with no life-threatening morbidity; donor renal function recovered to 70% at 6 months.
Conclusions:
- HALDoN enhances surgeon confidence for safe laparoscopic donor nephrectomy.
- The technique offers advantages in dissection, bleeding control, and graft preservation.
- Finger retraction and controlled stapling aid vascular procedures and graft removal.
