Comparison of Laparoscopic Versus Hand-Assisted Live Donor Nephrectomy

Kokkinos, Constantinos; Nanidis, Theodore; Antcliffe, David; Darzi, Ara; Tekkis, Paris; Papalois, Vassilios

doi:10.1097/01.tp.0000248761.56724.9c

Cited by 74 publications

(56 citation statements)

References 13 publications

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“…Hand-assistance was significantly associated with shorter operative time [18,19]. A previous paper reported similar findings [20], whereas others have found the opposite [16].…”

Section: Discussionsupporting

confidence: 72%

Minimally invasive living donor nephrectomy - introduction of hand-assistance

Mjøen¹,

Holdaas²,

Pfeffer³

et al. 2010

Transplant International

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“…Hand-assistance was significantly associated with shorter operative time [18,19]. A previous paper reported similar findings [20], whereas others have found the opposite [16].…”

Section: Discussionsupporting

confidence: 72%

Minimally invasive living donor nephrectomy - introduction of hand-assistance

Mjøen¹,

Holdaas²,

Pfeffer³

et al. 2010

Transplant International

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“…The result would be an improved patient quality of life and, most importantly, increased kidney transplants because of increased rates of living donations. 7 In addition, formation of an incisional hernia is the most common reason for HALDN reoperation. 8 In this situation, the incidence of incisional hernia could be decreased, which is another advantage of low transverse incisions.…”

Section: Discussionmentioning

confidence: 99%

Untitled

Gwon

Jun²,

Kim³

et al. 2016

Exp Clin Transplant

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Objectives: Hand-assisted laparoscopic donor nephrectomy is performed in many centers for donor nephrectomy. A midline incision for hand-assisted port placement is generally used but produces an unsightly scar. In this study, patients who had handassisted laparoscopic donor nephrectomy with low transverse incision were compared with those who received a midline incision. Materials and Methods: Our study group included patients who received hand-assisted laparoscopic donor nephrectomy from February 2012 to December 2014 at Korea University Anam Hospital. We retrospectively compared outcomes of these patients based on midline incision (45 patients) versus low transverse incision (17 patients). Risk factors, including age, sex, body mass index, creatinine level, glomerular filtration rate of allograft, side of graft kidney, number of renal arteries, duration of surgical procedure, and warm ischemic time, were compared between the midline and low transverse incision groups. Results: When we compared the midline versus low transverse incision groups, duration of surgical procedure (P = .043), postoperative day 3 glomerular filtration rate (P = .017), and postoperative day 3 pain score (P = .049) were significantly higher in the low transverse incision group versus the midline incision group. Postoperative day 3 results for duration of hospitalization (P = .030) and pain score (P = .021) were also significantly higher in the low transverse versus midline incision groups when we focused on patients with left nephrectomy. Conclusions:Hand-assisted laparoscopic donor nephrectomy with low transverse incision is more painful and necessitates a longer hospital stay and longer surgical procedure. Despite these disadvantages, hand-assisted laparoscopic donor nephrectomy with low transverse incision can offer a better cosmetic outcome with no definitive differences regarding renal function compared with a midline incision. Surgeons should consider these aspects when deciding on the best method for donor nephrectomy.

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“…3,19 More medical centers performed the laparoscopic technique. But urologists could not decide which side was better, only from their experience and intuition.…”

Section: Discussionmentioning

confidence: 99%

Untitled

2015

Exp Clin Transplant

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Comparison of Laparoscopic Versus Hand-Assisted Live Donor Nephrectomy

Abstract: Hand-assisted laparoscopic nephrectomy appeared to have the same donor and recipient complication rate with standard laparoscopy but offered substantial advantages in terms of shortened operative and warm ischemia time as well as decreased intraoperative bleeding.

Cited by 74 publications

References 13 publications

Minimally invasive living donor nephrectomy - introduction of hand-assistance

Minimally invasive living donor nephrectomy - introduction of hand-assistance

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