Laparoscopic live donor nephrectomy for right kidneys: Experience in a German community hospital

Saad, S.; Paul, Andreas; Treckmann, Jürgen; Nagelschmidt, M.; Heiss, M. M.; Arns, Wolfgang

doi:10.1007/s00464-007-9459-6

Cited by 24 publications

(28 citation statements)

References 25 publications

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“…While a few authors have demonstrated that complex right renal vascular anatomy is not a contraindication to RLDN, others have suggested modification such as the use of saphenous vein patch for renal vein reconstruction and the use of the retroperitoneoscopic approach for obtaining maximum arterial length. [1718192021] As some studies have demonstrated that RLDN is faster, with quicker convalescence, shorter OR time and lesser blood loss, RLDN has to be encouraged to extend the advantages of minimally invasive surgery to a greater donor pool. [222324]…”

Section: Discussionmentioning

confidence: 99%

Transperitoneal laparoscopic left versus right live donor nephrectomy: Comparison of outcomes

Pandarinath¹,

Choudhary²,

Chouhan³

et al. 2014

Indian J Urol

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Introduction:Although laparoscopic donor nephrectomy (LDN) is being performed at many centers, there are reservations on the routine use of laparoscopy for harvesting the right kidney due to a perception of technical complexity and increased incidence of allograft failure, renal vein thrombosis and the need for more back-table reconstruction along with increased operative time.Materials and Methods:We performed a prospective non-randomized comparison of transperitoneal laparoscopic left donor nephrectomy (LLDN) with laparoscopic right donor nephrectomy (RLDN) from August 2008 to May 2013. The operative time, warm ischemia time, intraoperative events, blood loss and post-operative parameters were recorded. The renal recipient parameters, including post-operative creatinine, episodes of acute tubular necrosis (ATN) and delayed graft function were also recorded.Results:A total of 188 LDN were performed between August 2008 and May 2013, including 164 LLDN and 24 RLDN. The demographic characteristics between the two groups were comparable. The operative duration was in favor of the right donor group, while warm ischemia time, estimated blood loss and mean length of hospital stay were similar between the two groups. Overall renal functional outcomes were comparable between the two donor groups, while the recipient outcomes including creatinine at discharge were also comparable.Conclusions:RLDN has a safety profile comparable with LLDN, even in those with complex vascular anatomy, and can be successfully performed by the transperitoneal route with no added morbidity. RLDN requires lesser operative time with comparable morbidity.

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Section: Discussionmentioning

confidence: 99%

Transperitoneal laparoscopic left versus right live donor nephrectomy: Comparison of outcomes

Pandarinath¹,

Choudhary²,

Chouhan³

et al. 2014

Indian J Urol

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“…There are previous studies reporting no differences in the complication rates in terms of laterality. 8,9 We also found that complication rates were similar in donors who underwent left-and right-sided HALDNs except spleen injuries.…”

Section: Commentmentioning

confidence: 70%

“…7 Several recent studies have reported that the right donor kidney is not associated with an increased risk of complications. 8,9 Meanwhile, right donor nephrectomy is frequently performed using open surgery owing to the technical difficulties associated with laparoscopic nephrectomy.…”

mentioning

confidence: 99%

Kidney Laterality and the Safety of Hand-assisted Live Donor Nephrectomy: Review of 1000 Consecutive Cases at a Single Center

Song

Jeong

Kim

et al. 2015

Urology

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“…The current approach is to use whichever side is better for the donor followed by the side that is better for the recipient. 15 A recent meta-analysis showed no differences in kidney function and thrombosis when they compared the right versus the left kidney. 16 We decided to use the right kidney in 3 cases, 2 because the left kidney had 4 arteries and the other case because the donor had underwent previous surgery for diverticular disease in the sigmoid colon, so we suspected adhesions at that level.…”

Section: Discussionmentioning

confidence: 99%

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2016

Exp Clin Transplant

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Objectives: Hand-assisted laparoscopic nephrectomy is a relatively new procedure in our country. This article reports on one of the largest number of this procedure in kidneys with multiple vessels. Conclusions:We found no differences in kidney function between single and multiple artery kidneys, resulting in the conclusion that hand-assisted laparoscopic nephrectomy offers an effective option for kidney donors, including those with multiple arteries.

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Laparoscopic live donor nephrectomy for right kidneys: Experience in a German community hospital

Abstract: Laparoscopic donor nephrectomy is a safe procedure and has been established as the method of choice for live kidney donation in our clinic. Laparoscopic procurement of right and left kidneys can be performed with comparable quality and outcome for donors and recipients.

Cited by 24 publications

References 25 publications

Transperitoneal laparoscopic left versus right live donor nephrectomy: Comparison of outcomes

Transperitoneal laparoscopic left versus right live donor nephrectomy: Comparison of outcomes

Kidney Laterality and the Safety of Hand-assisted Live Donor Nephrectomy: Review of 1000 Consecutive Cases at a Single Center

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