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A decade of minimally invasive donation: experience with more than 1200 laparoscopic donor nephrectomies at a single institution
Author(s) -
Leventhal Joseph R.,
Paunescu Smaranda,
Baker Talia B.,
Caciedo Juan Carlos,
Skaro Anton,
Kocak Burak,
Gallon Lorenzo,
Friedewald John,
Luo Xunrong,
Kaufman Dixon B.,
Fryer Jonathan P.,
Abecassis Michael M.
Publication year - 2010
Publication title -
clinical transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 76
eISSN - 1399-0012
pISSN - 0902-0063
DOI - 10.1111/j.1399-0012.2009.01199.x
Subject(s) - medicine , surgery , nephrectomy , complication , single center , ileus , laparoscopy , general surgery , kidney
Leventhal JR, Paunescu S, Baker TB, Caciedo JC, Skaro A, Kocak B, Gallon L, Friedewald J, Luo X, Kaufman DB, Fryer JP, Abecassis MM. A decade of minimally invasive donation: experience with more than 1200 laparoscopic donor nephrectomies at a single institution.
Clin Transplant 2010 DOI: 10.1111/j.1399‐0012.2009.01199.x.
© 2010 John Wiley & Sons A/S. Abstract: Background: The past decade has seen laparoscopic donor nephrectomy (LDN) transform into a standard of care procedure. Furthermore, LDN has evolved with the introduction of new technologies aimed at increasing efficiency and safety. There are few large, single center experiences detailing the results of LDN, its associated complications, and their management. Methods: We performed a retrospective review of 1200 LDN performed at our center for both pediatric and adult recipients. Results: Mean body mass index of donors was 27.1 (range 17–48). Twenty‐six percent of kidneys had multiple renal arteries. Greater than 99% were left LDN. Mean length of stay was 1.37 ± 0.6 d, which decreased to 1.1 ± 0.5 d for the last 475 cases. The overall complication rate was 4.2%. Among those patients, 1.6% of the patients experienced an intraoperative complication, including eight renovascular injuries; 7/8 renovascular injuries led to open conversion. Four conversions were elective; our overall conversion rate was 0.92%; 2.6% had a post‐operative complication; 1.2% required readmission for complication management. Three of 1200 patients have required reoperation for prolonged ileus and internal hernia (2), respectively. There have been no cases of donor renal failure or death. Since 2003, we have routinely used hand‐assisted LDN (HALDN). There have been no cases of primary non‐function. Urologic complications have been uncommon. Conclusions: Our series supports the safety and efficacy of LDN/HALDN.