Impact of Hand-Assisted Laparoscopic Living Donor Nephrectomy on Donor's Quality of Life, Emotional, and Social State

Hoda, M. Raschid; Hamza, Amir; Wagner, Sigrid; Greco, Francesco; Fornara, Paolo

doi:10.1016/j.transproceed.2010.01.078

Cited by 11 publications

(4 citation statements)

References 19 publications

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“…The remainder of the LKD questions showed that the majority of participants felt positively about LKD; however, again these were not associated with significant improvements in the psychosocial questionnaire scores. The rate of regret at both 3 and 12 months is in keeping with rates reported elsewhere (0–17%) . Previously documented risk factors for regret, such as graft loss and complications, were not elicited from this study, most likely due to the small numbers of participants expressing evidence of regret and the small number of deaths and graft losses.…”

Section: Discussionsupporting

confidence: 88%

Psychosocial wellbeing after living kidney donation - a longitudinal, prospective study

et al. 2017

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Living kidney donation (LKD) has become routine practice across the world as the gold standard treatment of end-stage renal failure. Whilst the physical risks and harms of LKD surgery are well documented, relatively little is known about psychosocial outcomes. The aim of this study was to determine whether it was possible to quantify the psychosocial impact of LKD. A prospective longitudinal study of 93 living kidney donors was performed. Data were collected preoperatively, and 3 and 12 months after donation. Questionnaires included 11 validated psychosocial outcome measures and questions specific to LKD. Over time, there was no significant change in wellbeing, life satisfaction, self-esteem, social comparison, distress, depression, stress, anxiety or social support at 3 or 12 months. Despite this, questions specific to LKD indicated that donors felt positively about donation, with low levels of regret. This study provides a thorough assessment of psychosocial outcomes after LKD over the first year. Donors felt positive about LKD although there was no evidence of any significant change in psychosocial outcomes. Despite no measurable psychosocial benefit after living kidney donation, there was also no evidence of harm.

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Section: Discussionsupporting

confidence: 88%

Psychosocial wellbeing after living kidney donation - a longitudinal, prospective study

et al. 2017

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“…The median age of donors in this series was 42 years, a finding similar to what others have reported. 1,8,12,22,23 This age period represents peak earning years, so any increase in hospital stay or time to return to work is especially important to these patients. Such economic issues likely play a role in the makeup of the donor population, as well.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Living Kidney Donation at a Single Center: An Examination of Donor Outcomes with Increasing Experience

Cannon

Eng

Marvin

et al. 2011

The American Surgeon™

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This study was undertaken to examine short-term outcomes of laparoscopic donor nephrectomy performed by transplant surgeons at a medium volume institution, with the specific goal of determining the presence of a learning curve effect. With institutional review board approval, a retrospective chart review was performed examining patient demographics, operative factors, and in-hospital outcomes over a 12-year period. Specific attention was paid to differences in outcomes between patients undergoing operation in the first versus the most recent 6-year period. Continuous and categorical variables were examined using the Wilcoxon rank sum test and χ2 analysis, respectively. The study group consisted of 129 patients. Median operative time was 234 minutes with a median estimated blood loss of 100. The median preoperative creatinine was 0.9, with a postoperative median creatinine of 1.3. The overall complication rate was 12.4 per cent, with ileus being the most common. There were two cases of post op acute renal failure, both of which were self limited and did not require dialysis. No patients died. Patients in the most recent 6 years (n = 77) enjoyed a shorter length of stay (2 vs 3 days, P < 0.001) than patients in the first 6-year period (n = 52). Additionally, there was a trend towards decreased complications in the second era that did not reach significance (9.1% vs 17.3%, P = 0.17). Laparoscopic donor nephrectomy is an attractive means of donation, and can be performed with low risk to the donor and minimal learning curve effect.

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“…The era of minimally invasive surgery saw laparoscopic interventions on the kidney and many urological operations are now being performed laparoscopically. These include laparoscopic donor nephrectomy (4), single port transumbilical donor nephrectomy (5), and hand assisted donor nephrectomy (6,7). Minimally invasive, hand assisted nephrectomy and autotransplantation have also been reported (8).…”

Section: Introductionmentioning

confidence: 99%

A laboratory training and evaluation technique for robot assisted ex vivo kidney transplantation

Khanna

Horgan

2011

Robotics Computer Surgery

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The technique of kidney transplantation has been well established. The operation is typically performed through a lower quadrant muscle cutting incision. With advances in robotic technology, many procedures are now being performed using the robot. This article describes a simple model of ex-vivo kidney transplantation using the robotic technique. This is a good training model and could be applied in select group of patients in the clinical setting.

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Impact of Hand-Assisted Laparoscopic Living Donor Nephrectomy on Donor's Quality of Life, Emotional, and Social State

Cited by 11 publications

References 19 publications

Psychosocial wellbeing after living kidney donation - a longitudinal, prospective study

Psychosocial wellbeing after living kidney donation - a longitudinal, prospective study

Laparoscopic Living Kidney Donation at a Single Center: An Examination of Donor Outcomes with Increasing Experience

A laboratory training and evaluation technique for robot assisted ex vivo kidney transplantation

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