Understanding Decision Making and Post-Donation Experiences for Robotic Single Port and Laparoscopic Donor...

Area of Science:

• Nephrology
• Transplant Surgery
• Psychology of Donation

Background:

• Understanding living kidney donor decision-making and post-donation experiences is crucial for improving preoperative counseling and follow-up care.
• This study investigated factors influencing donation decisions and post-operative outcomes in living kidney donors.

Purpose of the Study:

• To identify key factors influencing living kidney donor decisions.
• To evaluate post-donation experiences and quality of life in living kidney donors.
• To compare outcomes between laparoscopic donor nephrectomy (LDN) and single-port robotic-assisted donor nephrectomy (SPRDN).

Main Methods:

• A retrospective survey was conducted among living kidney donors who underwent LDN or SPRDN.
• Participants rated the importance of pre-donation factors and reported on post-donation experiences.
• Data were analyzed based on donor demographics and surgical approach.

Main Results:

• Long-term renal function and personal fulfillment were the most significant decision-making factors.
• Female donors prioritized personal fulfillment more than males; younger donors expressed greater concern about recovery.
• Most donors reported increased happiness and minimal quality-of-life impact, with nearly half showing increased caution in daily activities.
• SPRDN donors reported significantly faster recovery than LDN donors.

Conclusions:

• Preoperative counseling should address donors' priorities of long-term kidney health and personal fulfillment.
• Post-donation lifestyle education is vital for managing donor caution and ensuring long-term well-being.
• SPRDN presents a promising alternative for living kidney donation, potentially enhancing the donor experience through expedited recovery.