Laparoscopic donor nephrectomy: technique and outcome, a single-center experience
Abstract Background Laparoscopic donor nephrectomy (LDN) has been established as a surgical standard for living kidney donation. The aim of this work is to report our own experience with LDN regarding outcome and technique. Methods We prospectively identified 110 LDN cases between May 2017 and April...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2021-11-01
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| Series: | African Journal of Urology |
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| Online Access: | https://doi.org/10.1186/s12301-021-00254-7 |
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| author | Osama Zaytoun Moustafa Elsawy Kareem Ateba Ayman Khalifa Ahmed Hamdy Ahmed Mostafa |
| author_facet | Osama Zaytoun Moustafa Elsawy Kareem Ateba Ayman Khalifa Ahmed Hamdy Ahmed Mostafa |
| author_sort | Osama Zaytoun |
| collection | DOAJ |
| description | Abstract Background Laparoscopic donor nephrectomy (LDN) has been established as a surgical standard for living kidney donation. The aim of this work is to report our own experience with LDN regarding outcome and technique. Methods We prospectively identified 110 LDN cases between May 2017 and April 2020. Donor case files and operative notes were analyzed for age, sex, laterality, body mass index, warm ischemia time (WIT), intraoperative and postoperative complications, operative time, and length of hospital stay (LOS). Data were analyzed using SPSS version 10 (SPSS: An IBM Company, IBM Corporation, Armonk, NY, the USA). Results The mean age was 38 years, and 77% were males. Three cases (2.72%) required conversion to conventional open donor nephrectomy (ODN). Nevertheless, none of cases required intraoperative blood transfusion. The mean WIT was 2.6 min. Two cases (1.8%) developed major vascular injury (Clavien grade IIIb) and required conversion to ODN. Postoperatively, one patient (0.9%) needed transfusion of one unit of packed RBCs (Clavien grade II). The mean LOS was 2 days. Most common early postoperative complication was ileus (Clavien grade II) that developed in 4 (3.6%) cases. Incisional hernia (Clavien grade IIIb) was encountered in two (1.8%) cases. Two (1.8%) cases developed wound infection at the incision site and treated conservatively (Clavien grade I). Conclusions LDN is a safe technique with accepted intraoperative and postoperative morbidity. It offers short hospital stay, better cosmesis and early convalescence. In experienced hands, it can effectively deal with various vascular and ureteral anomalies without compromising early graft function. |
| first_indexed | 2024-04-11T20:07:07Z |
| format | Article |
| id | doaj.art-71dd2307f44b45fabedbf447afd1b347 |
| institution | Directory Open Access Journal |
| issn | 1110-5704 1961-9987 |
| language | English |
| last_indexed | 2024-04-11T20:07:07Z |
| publishDate | 2021-11-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | African Journal of Urology |
| spelling | doaj.art-71dd2307f44b45fabedbf447afd1b3472022-12-22T04:05:18ZengSpringerOpenAfrican Journal of Urology1110-57041961-99872021-11-012711610.1186/s12301-021-00254-7Laparoscopic donor nephrectomy: technique and outcome, a single-center experienceOsama Zaytoun0Moustafa Elsawy1Kareem Ateba2Ayman Khalifa3Ahmed Hamdy4Ahmed Mostafa5Department of Urology, Faculty of Medicine, University of AlexandriaDepartment of Urology, Faculty of Medicine, University of AlexandriaDepartment of Anaesthiology, Faculty of Medicine, University of AlexandriaDepartment of Anaesthiology, Faculty of Medicine, University of AlexandriaDepartment of Urology, Faculty of Medicine, University of AlexandriaDepartment of Urology, Faculty of Medicine, University of AlexandriaAbstract Background Laparoscopic donor nephrectomy (LDN) has been established as a surgical standard for living kidney donation. The aim of this work is to report our own experience with LDN regarding outcome and technique. Methods We prospectively identified 110 LDN cases between May 2017 and April 2020. Donor case files and operative notes were analyzed for age, sex, laterality, body mass index, warm ischemia time (WIT), intraoperative and postoperative complications, operative time, and length of hospital stay (LOS). Data were analyzed using SPSS version 10 (SPSS: An IBM Company, IBM Corporation, Armonk, NY, the USA). Results The mean age was 38 years, and 77% were males. Three cases (2.72%) required conversion to conventional open donor nephrectomy (ODN). Nevertheless, none of cases required intraoperative blood transfusion. The mean WIT was 2.6 min. Two cases (1.8%) developed major vascular injury (Clavien grade IIIb) and required conversion to ODN. Postoperatively, one patient (0.9%) needed transfusion of one unit of packed RBCs (Clavien grade II). The mean LOS was 2 days. Most common early postoperative complication was ileus (Clavien grade II) that developed in 4 (3.6%) cases. Incisional hernia (Clavien grade IIIb) was encountered in two (1.8%) cases. Two (1.8%) cases developed wound infection at the incision site and treated conservatively (Clavien grade I). Conclusions LDN is a safe technique with accepted intraoperative and postoperative morbidity. It offers short hospital stay, better cosmesis and early convalescence. In experienced hands, it can effectively deal with various vascular and ureteral anomalies without compromising early graft function.https://doi.org/10.1186/s12301-021-00254-7Kidney transplantationLaparoscopyDonor nephrectomy |
| spellingShingle | Osama Zaytoun Moustafa Elsawy Kareem Ateba Ayman Khalifa Ahmed Hamdy Ahmed Mostafa Laparoscopic donor nephrectomy: technique and outcome, a single-center experience African Journal of Urology Kidney transplantation Laparoscopy Donor nephrectomy |
| title | Laparoscopic donor nephrectomy: technique and outcome, a single-center experience |
| title_full | Laparoscopic donor nephrectomy: technique and outcome, a single-center experience |
| title_fullStr | Laparoscopic donor nephrectomy: technique and outcome, a single-center experience |
| title_full_unstemmed | Laparoscopic donor nephrectomy: technique and outcome, a single-center experience |
| title_short | Laparoscopic donor nephrectomy: technique and outcome, a single-center experience |
| title_sort | laparoscopic donor nephrectomy technique and outcome a single center experience |
| topic | Kidney transplantation Laparoscopy Donor nephrectomy |
| url | https://doi.org/10.1186/s12301-021-00254-7 |
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