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Single Port Donor Nephrectomy
Published on: March 12, 2011
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Hand-assisted Laparoscopic Left Donor Nephrectomy Without a Hand-assisted Device: Is it Possible?
Onder Karabay1, Hasan Tasci2, Mustafa Hasbahceci3
1General Surgery Department, Yedikule Surp Pirgic Armenıan Hospital, Istanbul, Turkey.
Transplantation Proceedings
|November 18, 2019
Summary
Hand-assisted laparoscopic donor nephrectomy without a hand port is an effective and easy method for kidney transplantation. This approach offers comparable outcomes to procedures using a hand port, simplifying the surgical process.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Transplant Surgery
Background:
- Live donor nephrectomy is a critical source for kidney transplantation.
- Laparoscopic and hand-assisted laparoscopic techniques are employed for donor nephrectomy.
- Limited research exists on hand-assisted laparoscopic donor nephrectomy performed without a dedicated hand port device.
Purpose of the Study:
- To evaluate the impact of omitting a hand port during hand-assisted laparoscopic donor nephrectomy for kidney transplantation.
Main Methods:
- Retrospective analysis of 305 patients undergoing kidney donation between January 2011 and June 2018.
- Patients were divided into two groups: Group A (with hand port) and Group B (without hand port).
- Comparison of surgical outcomes including bleeding, ischemia time, surgery duration, and complications.
Main Results:
- 159 patients in Group A and 146 in Group B.
- No significant differences observed between groups in intraoperative bleeding, warm ischemia time, surgery duration, or early postoperative complications (P > .05).
Conclusions:
- Hand-assisted laparoscopic donor nephrectomy can be effectively performed without a hand port.
- This technique is considered easy and efficient for laparoscopic nephrectomy in kidney donors.
