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Concomitant Surgery With Laparoscopic Live Donor Nephrectomy
Author(s) -
Molmenti Ernesto P.,
Pinto Peter A.,
Montgomery Robert A.,
Su LiMing,
Kraus Edward,
Cooper Matthew,
Sonnenday Christopher J.,
Klein Andrew S.,
Kavoussi Louis R.,
Ratner Lloyd E.
Publication year - 2003
Publication title -
american journal of transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.89
H-Index - 188
eISSN - 1600-6143
pISSN - 1600-6135
DOI - 10.1034/j.1600-6143.2003.00020.x
Subject(s) - medicine , concomitant , nephrectomy , surgery , laparoscopy , kidney transplantation , kidney , blood loss , general surgery , transplantation
Routine live donor evaluations reveal unexpected silent pathologies. Herein, we describe our experience treating such pathologies at the time of laparoscopic donor nephrectomy. We have not encountered any previous reports of such an approach. We prospectively collected data on 321 donors. Concomitant surgeries at the time of procurement included two laparoscopic adrenalectomies, one colposuspension, one laparoscopic cholecystectomy, and one liver biopsy. Mean operative time was 321 min (range 230–380), with a mean blood loss of 280 mL (range 150–500). No blood transfusions were required. The left kidney was procured in four cases. The right kidney was obtained on one occasion. Mean hospital stay was 3 days (median 3, range 2–4). No short‐ or long‐term complications have been identified. Mean follow‐up time was 2.63 years (median 2.76, range 2.23–2.99). Four of the five kidney recipients were first‐time transplants who had not yet started dialysis. Simultaneous surgical interventions at the time of laparoscopic live kidney donation are safe and can be undertaken in selected cases. This practice is beneficial to both the donor and the recipient, and is likely to become more commonplace with changing practice patterns involving donor evaluation and management .