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Updated: Jan 31, 2026

Single Port Donor Nephrectomy
Published on: March 12, 2011
Initial Experience With Hand-Assisted Laparoscopic Living Donor Nephrectomy: Training and Clinical Practice as a
C I Choi1, D I Kim1, S H Baek1
1Department of Surgery, Pusan National University Hospital, Biomedical Research Institute, Pusan National University Hospital 179, Gudeok-Ro, Seo-Gu, Busan, Korea.
Hand-assisted laparoscopic donor nephrectomy can be safely performed by experienced gastrointestinal surgeons. Initial results show acceptable operative times and outcomes, though a specific learning curve threshold remains unidentified.
Area of Science:
- Nephrology
- Minimally Invasive Surgery
- Transplant Surgery
Background:
- Evaluating initial outcomes of hand-assisted laparoscopic living donor nephrectomy.
- Assessing feasibility when performed by a gastrointestinal surgeon.
Purpose of the Study:
- Analyze the safety and efficacy of hand-assisted laparoscopic donor nephrectomy.
- Determine perioperative outcomes and complications.
Main Methods:
- Retrospective analysis of 22 consecutive patients undergoing hand-assisted laparoscopic living donor nephrectomy (December 2014 - January 2017).
- Prospective collection and analysis of perioperative clinical data.
Main Results:
- Mean operative time: 241 minutes; mean blood loss: 293 mL; mean warm ischemic time: 288 seconds.
- Postoperative complications included chyle leakage (2) and oliguria (1).
- Mean hospital stay: 7.5 days; creatinine and glomerular filtration rate (GFR) levels showed expected postoperative changes.
Conclusions:
- Experienced laparoscopic abdominal surgeons can safely perform hand-assisted donor nephrectomy.
- Further research is needed to define the learning curve for this procedure.
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