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Single Port Donor Nephrectomy
Published on: March 12, 2011
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Laparoscopic donor nephrectomy: The Middle East experience
Raja B Khauli1, Samer L Traboulsi1, Walid Medawar1
1Division of Urology and Renal Transplantation Unit, American University of Beirut Medica, Center, Beirut, Lebanon.
Arab Journal of Urology
|November 12, 2015
Summary
Laparoscopic donor nephrectomy (LDN) in the Middle East, initiated in 2000, shows promising outcomes comparable to open procedures. Further expansion is needed to leverage donor benefits.
Area of Science:
- Urology
- Transplant Surgery
- Minimally Invasive Surgery
Background:
- Laparoscopic donor nephrectomy (LDN) offers donor advantages but adoption varies globally.
- The Middle East's experience with LDN was previously underexplored.
Purpose of the Study:
- To review Middle East LDN experience, including outcomes, challenges, and learning curve.
- To assess regional contributions to global LDN data.
Main Methods:
- Literature search of Medline and PubMed for Middle East LDN centers.
- Surveys and telephone contact with regional transplant centers and surgeons.
Main Results:
- LDN introduced in 2000 across seven centers in five Middle Eastern countries.
- 888 procedures performed over a decade, representing 2% of global transplants.
- Outcomes and complications were comparable to open donor nephrectomy and Western learning curves.
Conclusions:
- LDN adoption in the Middle East has been successful, with gratifying outcomes.
- Hesitancy in wider adoption stems from multifaceted reasons.
- The benefits for kidney donors necessitate broader implementation of LDN.
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