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Updated: Feb 15, 2026

Single Port Donor Nephrectomy

Single Port Donor Nephrectomy

Published on: March 12, 2011

Hilar control during laparoscopic donor nephrectomy: Practice patterns in Canada.

Thomas B Mcgregor¹, Premal Patel², Gabriel Chan³

¹Department of Urology, Queen's University, Kingston, ON, Canada.

Canadian Urological Association Journal = Journal De L'Association Des Urologues Du Canada

|February 1, 2018

Summary

Vascular control device failures during laparoscopic donor nephrectomy (LDN) can cause serious complications. Surgeons prefer staplers but report malfunctions, necessitating careful modality selection to ensure donor safety.

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Area of Science:

Surgical Innovation
Transplant Surgery
Medical Device Safety

Background:

Laparoscopic donor nephrectomy (LDN) vascular control methods face scrutiny due to device failure risks.
Catastrophic consequences of device malfunction necessitate examining current practices.

Purpose of the Study:

Assess Canadian donor surgeons' vascular control preferences in LDN.
Evaluate surgeon perceptions of safety for different vascular control modalities.
Document experiences and management of device malfunctions during LDN.

Main Methods:

Anonymous online survey distributed to Canadian Society of Transplantation donor surgeons.
Descriptive statistics used for response analysis.
Inquiry into device malfunction sequelae and outcomes.

Main Results:

76% response rate from Canadian LDN institutions.
Laparoscopic staplers are the most common devices for renal artery (61%) and vein (67%) control.
Stapler misfire (28.5%) and clip slippage (43%) were reported, with most cases salvageable via laparoscopy, open conversion, or hand port.

Conclusions:

Rare hemorrhagic complications from device malfunction can negatively impact LDN donor outcomes.
Surgeons must exercise vigilance in choosing vascular control methods for donor safety.