Hand‐assisted laparoscopic and open living donor nephrectomy in Korea

Ku, Ja Hyeon; Yeo, Woon Geol; Han, Deok Hyeon; Lee, Sung Won; Kim, Hyeon Hoe

doi:10.1111/j.1442-2042.2005.01086.x

Cited by 7 publications

(4 citation statements)

References 25 publications

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“…Although the laparoscopic approach has become widely used, 1 – 3 open nephrectomy is still recommended and widely performed because of the difficulty, longer ischaemic time and higher incidence of ureteral complications associated with the minimally-invasive approach. 4 The extraperitoneal loin incision for open nephrectomy can cause severe postoperative pain that may decrease quality of life. 3 A multimodal approach has been attempted to accomplish effective pain control during the perioperative period.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of intrathecal morphine for postoperative pain management following open nephrectomy

et al. 2015

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ObjectiveTo evaluate the efficacy and safety of intrathecal morphine (ITM) for postoperative pain control in patients with renal cell carcinoma undergoing open nephrectomy.MethodsForty-five patients scheduled for open nephrectomy were randomised to receive 300 µg ITM and intravenous patient-controlled analgesia (IV-PCA) (n = 22) or IV-PCA alone (n = 23) for postoperative analgesia. The numeric pain score (NPS), postoperative IV-PCA requirements and opioid-related complications including nausea, vomiting, dizziness, headache, and pruritus were compared between groups.ResultsNPS was significantly lower in the ITM group up to 24 h postoperatively. Upon coughing, NPS at 24 h postoperatively was 50 (interquartile range (IQR) 30–60) in the ITM group and 60 (45–70) in the IV-PCA group. Cumulative morphine consumption at 72 h postoperatively was significantly lower in the ITM group compared with the IV-PCA group (20 (9–33) mg vs. 31 (21–49) mg, respectively). Opioid-related complications were similar in both groups with the exception of pruritus (ITM, 77% vs. IV-PCA, 26%).ConclusionsITM was associated with greater analgesia without serious complications in patients undergoing open nephrectomy.

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Section: Introductionmentioning

confidence: 99%

Efficacy of intrathecal morphine for postoperative pain management following open nephrectomy

et al. 2015

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“…A recent meta-analysis presented that laparoscopic donor nephrectomy (LDN) has been associated with fewer complications, shorter LOS, and faster return to work than those with ODN [ 14 , 15 ]. Our center also reported in a previous comparison study that LDN may have the ability to provide grafts of similar quality to ODN [ 16 ].…”

Section: Discussionmentioning

confidence: 57%

Evaluation of the Learning Curve of Hand-Assisted Laparoscopic Donor Nephrectomy

et al. 2018

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BackgroundIn this study, we analyzed the learning curve of hand-assisted laparoscopic donor nephrectomy (HALDN).Material/MethodsThe first 198 consecutive donors (110 cases by expert surgeon and 88 cases by newbie surgeon) operated on using HALDN were included in this study. The primary outcome measures were warm ischemic time (WIT), total operation time and estimated blood loss (EBL). The secondary outcome measures included length of hospital stay (LOS), graft outcome, and surgery-related complications. We used the cumulative sum (CUSUM) method to generate learning curves.ResultsExcept for WIT, all operative and convalescence parameters of donors and graft outcomes were similar for the 2 groups, including the total operation time (174.13 minutes vs. 171.75 minutes, P=0.140), EBL (108.27 cc vs. 116.82 cc, P=0.494), LOS (4.80 days vs. 4.92 days, P=0.144), and overall rates of intraoperative and postoperative complications (P>0.05). A significant difference was observed in WIT between the 2 groups (140.59 sec vs. 106.85 sec, P=0.027). Upon visual assessment of the CUSUM plots, a downward inflexion point for decreasing WIT was observed in 4 cases, total operation time in 12 cases, and EBL in 15 cases.ConclusionsHALDN has a relatively short learning curve and similar results may be expected from newbie urologists who are trained in minimally invasive surgery fellowship.

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“…In a study, the stay time of the donors with the laparoscopic nephrectomy and open nephrectomy has reported as comparable [16]. A study has shown that some other studies as underreport and underestimate about the laparoscopic donor nephrectomy results also morbidity and mortality with laparoscopic donor nephrectomy have been reported and also long time training is necessary to be comfortable at doing the laparoscopic donor nephrectomy has been reported [17].…”

Section: Journal Of Transplantation Technologies and Researchmentioning

confidence: 99%

“…A study has reported a size of incision in the open donor nephrectomy may be comparable with the size of incision at the laparoscopy donor nephrectomy [18]. With regarding all of the mentioned above, it may be advised if laparoscopy donor nephrectomy is not possible at some centers, it is possible with having more experience about open donor nephrectomy to do open donor nephrectomy with results comparable with laparoscopic donor nephrectomy [16][17][18].…”

Section: Journal Of Transplantation Technologies and Researchmentioning

confidence: 99%

Does the Laparoscopic Nephrectomy Donor Leave the Hospital Early than the Open Nephrectomy Donor?

Zomorrodi¹

2012

J Transplant Technol Res

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Kidney transplantation is the best treatment for chronic renal failure patient (CRF), because in this treatment the patient will have normal life and also it is more cost effective than other methods for treatment of CRF. One of the major problems with the kidney transplantation is shortage of the kidney donor. Besides deceased donor, live kidney donors (related and unrelated) are selected for solving the problem of kidney donor shortage. Two approaches are used for removing kidney from live donors including: open nephrectomy and laparoscopic nephrectomy. The short stay at hospital is mentioned as one of the advantages of laparoscopic donor nephrectomy that is a factor for increasing live donor volunteer. At our center, we studied the issue: how long is the time of hospital stay of the kidney donor who has been operated as open nephrectomy and is it different with that reported for laparoscopic donor nephrectomy? Methods: The time of hospital stay of 326 kidney donors (35 females, 291 males) post operation have been studied as retrospectively at kidney transplant center of Imam Reza hospital from 2005 to 2011. Results:In 326 kidney donors, 48 donors after second day of operation, 276 donors after third day of operation, one donor after eight day of operation, and one donor after sixth day of operation had been discharged from the hospital, for all the kidney donors the operation had been done through trans flank incision and retroperitoneal and without the rib resection. Conclusion:In this study, considering the hospital staying time of open nephrectomy donors, it is understood that nearly one hundred percent of donors had been discharged from the hospital until third day of operation so it seems that the hospital stay of the open nephrectomy donors are comparable with the reported time for hospital stay of laparoscopic nephrectomy donors.

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Hand‐assisted laparoscopic and open living donor nephrectomy in Korea

Cited by 7 publications

References 25 publications

Efficacy of intrathecal morphine for postoperative pain management following open nephrectomy

Efficacy of intrathecal morphine for postoperative pain management following open nephrectomy

Evaluation of the Learning Curve of Hand-Assisted Laparoscopic Donor Nephrectomy

Does the Laparoscopic Nephrectomy Donor Leave the Hospital Early than the Open Nephrectomy Donor?

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