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Updated: Jul 11, 2026
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Single Port Donor Nephrectomy
Published on: March 12, 2011
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Enhancing donor outcomes: simultaneous laparoscopic living donor nephrectomy and concomitant surgical procedures
Apostolos Angelis1, Dionysios Prevezanos2, Christos Doudakmanis2
1Second Department of Propaedeutic Surgery, National and Kapodistrian University of Athens, Agiou Thomas 17, 11 527, Athens, Greece. apostol2881@gmail.com.
Surgical Endoscopy
|March 7, 2025
Summary
Simultaneous laparoscopic living donor nephrectomy (LLDN) with other procedures is safe and feasible. This combined approach avoids multiple surgeries and anesthesia, improving donor recovery and quality of life.
Area of Science:
- Minimally Invasive Surgery
- Transplant Surgery
- Donor Management
Background:
- Laparoscopic living donor nephrectomy (LLDN) is the standard for kidney transplantation.
- Concurrent LLDN with other surgeries is infrequently reported.
- This study assesses the safety and feasibility of combined laparoscopic procedures.
Purpose of the Study:
- To evaluate the safety and feasibility of performing simultaneous laparoscopic living donor nephrectomy (LLDN) with additional laparoscopic surgeries.
- To determine if combining procedures impacts donor outcomes.
Main Methods:
- Prospective analysis of 294 LLDN cases (November 2018 - May 2023).
- 15 donors underwent concomitant laparoscopic procedures (e.g., cholecystectomy, hernia repair).
- Pre-operative evaluation and detailed recording of surgical outcomes, including complications and operative time.
Main Results:
- No intra-operative complications occurred in the 15 combined procedures.
- Mean operative time for combined surgery was 164.33 minutes.
- Mean hospital stay was 3 days with no significant post-operative complications.
Conclusions:
- Simultaneous LLDN and other laparoscopic surgeries are safe and feasible.
- Performed by experienced teams, this approach enhances donor recovery and quality of life.
- Avoids the need for separate surgeries and anesthesia.
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