Open AccessLaparoscopy, dorsal lumbotomy and flank incision live donor nephrectomy: comparison of donor outcomes
Author(s) -
Dinesh Samarasekera,
David S. Kim,
Rachel Wang,
Gordon Yip,
Steven S. Tang,
Christopher Nguan
Publication year - 2013
Publication title -
canadian urological association journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.477
H-Index - 38
eISSN - 1920-1214
pISSN - 1911-6470
DOI - 10.5489/cuaj.266
Subject(s) - medicine , nephrectomy , surgery , laparoscopy , creatinine , dorsum , urology , kidney , anatomy
Background: Flank incision (FL), dorsal lumbotomy (DL) and laparoscopic surgery have been effective approaches to donor nephrectomy. While laparoscopic donor nephrectomy (LDN) has becomeincreasingly popular, there has yet to be a direct comparison of the three modalities.Methods: We performed a retrospective chart review of FL, DL and LDN operations between 2002 and 2010 within a single institution. Donor and recipient characteristics, as well as surgical outcomes, were assessed.Results: There were 496 donor nephrectomy operations available for analyses. Patients in the LDN group had the lowest estimated blood loss, compared to the DL and FL groups (p 0.45).Conclusions: Although a lower pain experience of LDN was not indicated, the use of LDN should be favoured over DL and FL as it is associated with fewer complications, and shorter length of stay.Of note, DL appears to be associated with higher complications and is likely not a preferred option for donor nephrectomy.