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Single Port Donor Nephrectomy
Published on: March 12, 2011
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Current practice of live donor nephrectomy in Turkey
Bakytbek Mankiev1, Sanem Guler Cimen2, Ismail Oskay Kaya3
1Department of General Surgery, Sağlık Bilimleri Üniversitesi, Ankara 65100, Turkey.
World Journal of Transplantation
|December 26, 2022
Summary
Minimally invasive live donor nephrectomy (LDN) is widely adopted in Turkey, with centers performing these procedures showing higher live donor kidney transplant volumes. Most centers successfully utilize various LDN techniques, with laparoscopic approaches being most common.
Area of Science:
- Nephrology
- Transplant Surgery
- Minimally Invasive Surgery
Background:
- Declining deceased donor rates necessitate increased live donor kidney transplantation.
- Advancements in minimally invasive live donor nephrectomy (LDN) techniques have supported rising live donor kidney donation rates.
- There is growing interest in understanding the surgical approaches and outcomes of LDN.
Purpose of the Study:
- To evaluate live donor nephrectomy (LDN) techniques, surgical team structures, and training in Turkey.
- To assess kidney transplantation volumes, surgeon experience, surgical approaches, and outcomes across Turkish transplant centers.
- To identify trends in the adoption of minimally invasive versus open techniques for LDN.
Main Methods:
- A nationwide questionnaire survey was distributed to all 72 Turkish Ministry of Health-accredited transplant centers.
- Data collected included LDN surgery volume, techniques, complications, surgeon experience, and training protocols.
- Descriptive statistics were used, with Mann-Whitney U and Chi-squared tests for group comparisons.
Main Results:
- All 72 centers responded; 67 centers performing LDN were included in the analysis.
- In 2019, 71.6% of centers utilized minimally invasive techniques for LDN, predominantly transperitoneal laparoscopic approaches.
- Centers performing minimally invasive LDN had significantly higher overall and live donor kidney transplant volumes.
- Postoperative atelectasis was the most common complication; no significant difference in complications was noted between techniques, except for chyle leak.
Conclusions:
- Turkish transplant centers are successfully performing live donor nephrectomies (LDN) using diverse surgical techniques.
- A strong association exists between the adoption of minimally invasive LDN techniques and higher transplant center volumes.
- Minimally invasive approaches appear to be the preferred method for LDN in high-volume transplant centers in Turkey.
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