Laparoscopic (vs. Open) Live Donor Nephrectomy: A UNOS Database Analysis of Early Graft Function and Survival

Abstract

Our data suggests that lap nephrectomy is associated with slower early graft function. Rejection rates and short-term graft survival, however, were similar for lap and open graft recipients. Further prospective studies with longer follow up are necessary to assess the potential impact of the laparoscopic procurement mode on early graft function and long-term outcome.

Correlation of Surgical Times with Laparoscopic Live Donor Kidney Transplant Outcomes

“…In line with these findings, it has been shown that recipients of laparoscopically procured kidneys had higher short-term serum Cr compared to recipients of kidneys procured by open technique [7,19].…”

“…In line with this hypothesis, several investigators have reported slower early post-transplant function for laparoscopically retrieved (vs. open) grafts as measured by poor early graft function (EGF) rates [7,8]. This is important because even mild to moderate early graft dysfunction can have a negative impact on long-term graft survival [9].…”

Laparoscopic Live Donor Nephrectomy: A Risk Factor for Delayed Function and Rejection in Pediatric Kidney Recipients? A UNOS Analysis

“…Hence, it is not surprising that some studies of adult recipients of live donor kidney grafts showed slower early graft function for laparoscopic (vs. open) donor kidneys (11)(12)(13). For pediatric recipients, the scarce available data on the potential impact of laparoscopic (vs. open) nephrectomy are controversial.…”

Measuring Surgical Recovery: The Study of Laparoscopic Live Donor Nephrectomy

“…From the recipient standpoint, multiple reports have demonstrated equivalent patient and graft survival (2,3). From the donor's perspective, complication rates and lengths of hospital stay have been shown to be lower when compared to the open approach (4).…”