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Published on: March 12, 2011
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Hand-Assisted Laparoscopic Donor Nephrectomy in Complete Situs Inversus
John V Gahagan1, Matthew D Whealon1, Uttam Reddy2
1Department of Surgery, University of California , Irvine School of Medicine, Orange, California.
Journal of Endourology Case Reports
|September 1, 2016
Summary
Living kidney donation is possible even with complete situs inversus, a rare organ transposition condition. This case demonstrates a successful kidney transplant from a donor with situs inversus, showing feasibility and safety.
Area of Science:
- Medical Case Reports
- Transplantation Surgery
- Genetics and Congenital Anomalies
Background:
- Complete situs inversus is a rare congenital condition where major visceral organs are mirrored.
- Renal transplantation is a life-saving procedure for end-stage renal disease.
- Living kidney donation offers better outcomes but requires careful donor evaluation.
Observation:
- A case report detailing a renal transplant from a living donor with complete situs inversus.
- The donor, a 56-year-old female, had complete situs inversus with normal bilateral kidneys and vasculature.
- The recipient was a 59-year-old female with end-stage renal disease due to type 2 diabetes mellitus.
Findings:
- A successful hand-assisted laparoscopic right donor nephrectomy was performed on the situs inversus donor.
- The donor recovered well, and the recipient experienced no acute rejection or infection post-transplant.
- Recipient serum creatinine levels remained stable (0.8-1.2 mg/dL) post-surgery.
Implications:
- Laparoscopic donor nephrectomy is technically feasible in living donors with complete situs inversus.
- Situs inversus should not be a contraindication for living kidney donation.
- This case expands the donor pool for kidney transplantation, offering hope to more patients.
