Hand-Assisted and Conventional Laparoscopic Live Donor Nephrectomy: A Comparison of Two Contemporary Techniques

Abstract

Hand-assisted laparoscopic donor nephrectomy provides shorter operative and warm ischemia times without a significant increase in donor morbidity.

A Systematic Review of Laparoscopic Live-Donor Nephrectomy

“…Operative times for LLDN were approximately two times longer than for OLDN. Hand-assisted LLDN was found to be significantly shorter than standard LLDN in three studies (7,29,40). These results were consistent with 13 other comparative studies in which statistical significance was not reported.…”

“…However, no blinding of outcome assessors was undertaken, and the study seemed to have been slightly underpowered. The six nonrandomized Level III-2 comparative studies (7)(8)(9)(10)(11)(12) were limited by poor reporting of methodologic detail. Inclusion/exclusion criteria were not clear and matching (if undertaken) was relatively superficial; it was not clear whether there had been losses to follow-up.…”

Comparison of Hand-Assisted Laparoscopic and Open Donor Nephrectomy: A Single-Center Experience from South Korea

“…In the several reports on HALDN, most of the authors say that hand assistance combines the excellent laparoscopic visibility of a generous operative field with technical facilitation provided by manual assistance. [17][18][19] In our study, the data likewise confirm the advantages of HALDN for the donor and demonstrate uncompromised results for the recipient.…”

Transplante renal de donante vivo: un análisis crítico de estrategias quirúrgicas basado en 40 años de experiencia

“…Es interesante constatar que algunos cirujanos laparoscópicos practican este tipo de incisión para la extracción final del órgano frente a la propuesta más común de la línea media hipogástrica o Pfanestiel. Esta incisión es utilizada también para la cirugía laparoscópica manoasistida 23,24 . Los múscu-los abdominales son seccionados y en ningún caso hemos intentado cirugía miofiláctica.…”