Two- and three-dimensional laparoscopic donor nephrectomy: a comparative study of a single-center experience

Area of Science:

• Urology
• Minimally Invasive Surgery
• Transplantation

Background:

• First report on 3D laparoscopic donor nephrectomy in Central Asia and CIS countries.
• Compares initial experiences of 3D hand-assisted laparoscopic donor nephrectomy (3D-HALDN) with 2D-HALDN.
• Utilizes data from a single center.

Purpose of the Study:

• To compare the outcomes of 3D-HALDN and 2D-HALDN.
• To evaluate the efficacy and safety of 3D-HALDN in donor nephrectomy.
• To assess the impact of 3D technology on surgical performance and patient recovery.

Main Methods:

• Prospective comparison of 19 3D-HALDN and 19 2D-HALDN procedures.
• Performed between 2015 and 2019 by two surgeons using identical techniques.
• Statistical analysis with significance at P<0.05.

Main Results:

• 3D-HALDN group showed significantly shorter warm ischemic time, operative time, and less blood loss.
• Shorter average drainage duration and postoperative hospitalization in the 3D-HALDN group.
• No significant difference in postoperative creatinine or glomerular filtration rate; no major complications.

Conclusions:

• 3D-HALDN is more beneficial than 2D-HALDN, offering reduced warm ischemic time, blood loss, and shorter recovery.
• Early and late postoperative kidney function and complication rates are independent of the laparoscopic technique used.
• 3D technology enhances surgical outcomes in laparoscopic donor nephrectomy.