A Consecutive Series of 70 Laparoscopic Donor Nephrectomies Demonstrates the Safety of This New Operation

Laparoscopic donor nephrectomy (LDN) has the potential to overcome some of the disincentives to living kidney donation. This study presents the results of a consecutive series of 70 LDN from a single center with an emphasis on postoperative complication rates and donor recovery times. There was no s...

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Bibliographic Details
Published in:Transplantation proceedings 2005-03, Vol.37 (2), p.627-628
Main Authors: Brook, N.R., Harper, S.J., Waller, J.R., Nicholson, M.L.
Format: Article
Language:English
Subjects:
Biological and medical sciences
Digestive system. Abdomen
Endoscopy
Female
Fundamental and applied biological sciences. Psychology
Fundamental immunology
Humans
Investigative techniques, diagnostic techniques (general aspects)
Laparoscopy - methods
Laparoscopy - standards
Living Donors
Male
Medical sciences
Middle Aged
Nephrectomy - methods
Nephrectomy - standards
Patient Selection
Postoperative Complications - classification
Postoperative Complications - epidemiology
Renal Circulation
Safety
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the urinary system
Surgical Wound Infection - epidemiology
Tissue, organ and graft immunology
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Summary:Laparoscopic donor nephrectomy (LDN) has the potential to overcome some of the disincentives to living kidney donation. This study presents the results of a consecutive series of 70 LDN from a single center with an emphasis on postoperative complication rates and donor recovery times. There was no selection bias based on donor body mass index or because of difficult vascular anatomy. All donors received postoperative analgesia using a patient-controlled system and returned to activities and employment at their discretion. There was no donor mortality and no episode of thromboembolic disease. One operation was converted from open to LDN because of renal artery bleeding. Postoperative complications encompassed chest infection (6%), unilateral pulmonary edema (3%), ileus (3%), wound infection (3%), paraesthesia of L1 (4%), testicular pain (3%), persistent wound pain (1.4%), and reoperation for division of adhesions (3%). In conclusion, LDN is a safe procedure with low postoperative morbidity. There were some unexpected complications, but recovery time was short.
ISSN:0041-1345
1873-2623
DOI:10.1016/j.transproceed.2004.12.149