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Updated: Nov 15, 2025

Single Port Donor Nephrectomy

Single Port Donor Nephrectomy

Published on: March 12, 2011

Pure laparoscopic donor nephrectomy without routine drainage does not increase postoperative morbidity.

Dong Hyeon An¹, Jae Hyeon Han², Myoung Jin Jang³

¹Department of Urology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Investigative and Clinical Urology

|March 4, 2021

Summary

Omitting routine drains after pure laparoscopic donor nephrectomy (PLDN) is feasible and safe. This approach does not increase patient complications or morbidity, supporting its clinical adoption.

Keywords:

Drainage Intraoperative complications Laparoscopy Living donors Postoperative complications

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Area of Science:

Nephrology
Surgical Innovation
Minimally Invasive Surgery

Background:

Routine drain insertion after pure laparoscopic donor nephrectomy (PLDN) is a common practice.
The necessity and impact of routine drains on patient outcomes require further investigation.

Purpose of the Study:

To assess the feasibility and safety of omitting routine drain insertion after PLDN.
To compare postoperative outcomes and complication rates between patients with and without routine drains.

Main Methods:

A retrospective study comparing 80 patients who had routine drains (Drainage group) with 98 patients who did not (Non-drainage group) after PLDN.
Analysis of operative and convalescence parameters, as well as intra- and postoperative complications within 90 days, using Satava and Clavien-Dindo classifications.

Main Results:

No significant differences were observed in overall intraoperative or postoperative complication rates between the Drainage and Non-drainage groups (22.5% vs 28.9% and 62.5% vs 59.8%, respectively).
Rates of potentially drain-related complications were also similar (36.3% vs 33.0%), with two major drain-related complications in each group (2.5% vs 2.1%).
Operative and convalescence parameters were comparable, with the exception of postoperative glomerular filtration rate.

Conclusions:

Pure laparoscopic donor nephrectomy can be performed safely without routine drain insertion.
Omission of routine drains does not lead to an increase in postoperative morbidity or complications.