Retroperitoneoscopy-assisted living donor nephrectomy: 109 cases

Yang, Seung Choul; Rha, Koon Ho; Kim, Y. S.; Kim, S. I.; Park, Kihoon

doi:10.1016/s0041-1345(00)02435-0

Cited by 23 publications

(21 citation statements)

References 7 publications

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“…Vascular anomalies on the left side entail are not the only indication for right-sided donation (Table 1). Other authors report a comparable high rate of multiple vessels on the left side (14 -29%) or a high rate of right kidney donations (19%) in their series (7,8). With respect to our data, right-sided donation has been performed in both groups.…”

supporting

confidence: 66%

Retroperitoneoscopic Living Donor Nephrectomy: A Retrospective Comparison to the Open Approach

et al. 2004

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A purely retroperitoneoscopic approach in living kidney donation is used by only a few centers worldwide. Data from 28 consecutive purely retroperitoneoscopic living donor nephrectomies (RLDN) were compared to the most recent 30 open living donor nephrectomies (OLDN). Right-sided donation was performed in 12 cases (43%) of the RLDN and 11 cases (37%) of the OLDN. Comparison of the results between the two groups showed a shorter operation time and hospital stay for the RLDN group (P < 0.001). Warm ischemia time was significantly shorter in the OLDN group (P < 0.02). The rate of complications did not differ significantly between the groups. No significant difference in terms of renal graft function was detected within 30 days after surgery. As a result of the direct access, RLDN is superior in terms of operation time, even to the open access on our series, while maintaining the advantage of minimal invasiveness.

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supporting

confidence: 66%

Retroperitoneoscopic Living Donor Nephrectomy: A Retrospective Comparison to the Open Approach

et al. 2004

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“…Today, most surgeons use the transperitoneal approach, except few clinics who established primarily the retroperitoneoscopic approach [19][20][21][22]. Although the limited working space makes the retroperitoneoscopic approach more demanding compared to the transperitoneal approach, it oVers two major advantages: Wrst, it is possible to operate without interfering with intraperitoneal organs or adhesions in case of prior abdominal surgery.…”

Section: Discussionmentioning

confidence: 99%

Complications of retroperitoneoscopic living donor nephrectomy: single center experience after 164 cases

et al. 2008

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“…Table 3 provides information about the type of complications in both groups. Donors were discharged 6.5 [3][4][5][6][7][8][9][10][11][12] days after MIDN and 4.9 [3][4][5][6][7][8][9][10][11][12][13] days after RPDN, which was significantly different ( < 0.001, Table 1). None of the donors was forced to leave hospital before his or her subjective well-being.…”

Section: Outcome Of the Donormentioning

confidence: 92%

“…The retroperitoneoscopic technique first described by Yang et al [6] combines the benefits of small incisions for the donor and the lack of complications of a transabdominal approach [7,8].…”

Section: Introductionmentioning

confidence: 99%

Comparing Surgical Complications of Donors and Recipients in Retroperitoneoscopic versus Mini-Incision Donor Nephrectomy: A Single-Center Experience

Koch

Bachmann

Nashan

2013

ISRN Transplantation

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Anterior vertical mini-incision donor nephrectomy (MIDN) has been used as the standard retrieval procedure in our center. Though the MIDN approach was tolerated very well with low complication rates, there were especially cosmetic reasons, to consider a change of procedure. Hence we switched to a total retroperitoneoscopic donor nephrectomy (RPDN) in 2011. We compared the outcome and surgical complications of donors and recipients of the first 30 RPDNs performed with 30 consecutive MIDN procedures. In both techniques, right and left nephrectomies were carried out. After a very short learning curve, the mean RPDN operation times were shorter compared to the MIDN (109 versus 171 min, < 0.01) and donors were discharged earlier. No major complications occurred in the RPDN group and complications were less frequent compared to MIDN (17% versus 40%). The renal function in the recipients was equivalent in both groups at the time of discharge and after one year. We conclude that RPDN is easy to learn for a surgical team experienced in open retroperitoneal donor nephrectomy. The change of the retrieval technique is safe for the donor and the recipient regarding surgical complications and recipients' renal function. Donors benefit from RPDN due to earlier hospital discharge and faster recovery.

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Retroperitoneoscopy-assisted living donor nephrectomy: 109 cases

Cited by 23 publications

References 7 publications

Retroperitoneoscopic Living Donor Nephrectomy: A Retrospective Comparison to the Open Approach

Retroperitoneoscopic Living Donor Nephrectomy: A Retrospective Comparison to the Open Approach

Complications of retroperitoneoscopic living donor nephrectomy: single center experience after 164 cases

Comparing Surgical Complications of Donors and Recipients in Retroperitoneoscopic versus Mini-Incision Donor Nephrectomy: A Single-Center Experience

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