Hand-assisted Laparoscopic Donor Surgery for Living Donor Pancreas and Kidney Transplantation: A Single Center Experience.
10.4285/jkstn.2016.30.4.178
- Author:
Jeong Sub KIM
1
;
Cheol Woong JUNG
;
Heungman JUN
;
Kwan Tae PARK
Author Information
1. Department of Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea. cwjung@korea.ac.kr
- Publication Type:Original Article
- Keywords:
Hand-assisted laparoscopy;
Simultaneous pancreas-kidney transplantation;
Living donors
- MeSH:
Body Mass Index;
Cold Ischemia;
Female;
Hand-Assisted Laparoscopy;
Humans;
Kidney Transplantation*;
Kidney*;
Living Donors*;
Pancreas Transplantation;
Pancreas*;
Pancreatic Fistula;
Tissue Donors*
- From:The Journal of the Korean Society for Transplantation
2016;30(4):178-183
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: In this era of donor shortage, use of organs from living donors has increased significantly. Nonetheless, less than 1% of pancreas transplantations involve living donors, despite the immunological benefits, reduced cold ischemic time, and decreased waiting time. One reason for the paucity of donors is the high morbidity after open surgery. Using hand-assisted laparoscopic donor surgery (HALDS) can be a favorable technique for living donors. METHODS: Using HALDS, we performed three Simultaneous pancreas-kidney transplantations (SPKs) involving living donors. Two donors were women; one was a man. RESULTS: Their mean age was 34.3±4.7 years, and their body mass index was 23.2±2.36 kg/m². The mean operation time was 241±19.0 minutes and the mean cold-ischemic time of the kidney was 42.7±9.8 minutes, while that of the pancreas was 64.3±5.2 minutes. One donor developed a pancreatic fistula, which was controlled using conservative management. The donors' pancreatic and renal functions were well preserved postoperatively. CONCLUSIONS: HALDS for SPKs can be performed without significant complications if the surgeon has sufficient skill.
