Donor Nephrectomy : Comparison of Open, Hand-assisted and Laparoscopic Donor Nephrectomy.
10.4111/kju.2006.47.12.1309
- Author:
Ki Young YOO
1
;
Sung Hoo HONG
;
Tae Kon HWANG
Author Information
1. Department of Urology, The Catholic University of Korea, Seoul, Korea. tkhwang@catholic.ac.kr
- Publication Type:Original Article
- Keywords:
Laparoscopy;
Donor;
Hand;
Kidney transplantation
- MeSH:
Analgesics;
Creatinine;
Diet;
Graft Survival;
Hand;
Humans;
Kidney;
Kidney Transplantation;
Laparoscopy;
Length of Stay;
Nephrectomy*;
Tissue Donors*;
Transplants;
Warm Ischemia
- From:Korean Journal of Urology
2006;47(12):1309-1314
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Minimally invasive donor nephrectomy has become a favored procedure for kidney transplantation. To compare the outcomes of kidneys procured using open donor nephrectomy (ODN), laparoscopic donor nephrectomy (LDN) and hand-assisted laparoscopic donor nephrectomy (HALDN). MATERIALS AND METHODS: A total of 243 patients were included in the study. 177 HALDN and 24 LDN patients were compared with 42 ODN patients. The operation times, warm ischemic times, transfusions, times to regular diet, post-operation hospital stays, analgesics use, post-operation serum creatinine, complications, graft functions and survivals were evaluated. RESULTS: The mean operation times were 197+/-43, 213+/-32.7 and 189+/-28.2 minutes for HALDN, LDN and ODN, respectively. The warm ischemic times were 175+/-76.7, 174+/-67.5 and 135+/-25.4 seconds for HALDN, LDN and ODN, respectively. The mean post-operation hospital stays were shorter for the HALDN and LDN than for ODN. There were no significant differences between the three groups in terms of the times to regular diet. The graft survivals were 98, 96 and 97.6% in the HALDN, LDN and ODN, respectively. The postoperative serum creatinine levels of the recipients showed no differences between the three groups. CONCLUSIONS: HALDN and LDN are technically feasible, and appear to be safe and effective for live-donor transplantation. Evaluation of the HALDN and LDN showed less pain, a more rapid recovery and minimal cosmetic disfigurement than the ODN. The recipient graft functions were also similar in the laparoscopic and open surgery groups. Therefore, HALDN and LDN may result in increased acceptance of the donor operation and expand the pool of potential kidney donors.
