COMPARATIVE ANALYSIS OF DONOR NEPHRECTOMY PERFORMED BY OPEN AND VARIOUS MODIFICATIONS OF LAPAROSCOPIC ACCESS

The aim of this study was to evaluate our experience on laparoscopic living donor nephrectomy (LDN). During the last 1,5 years we have gradually expanded the use of minimally invasive LDN with various techniques: strictly laparoscopic and hand-assisted laparoscopic. This comparative study is based o...

Full description

Bibliographic Details
Main Authors: S. V. Gautier, Y. G. Moysyuk, O. E. Lutcevich, E. A. Gallyamov, A. S. Efimkin, M. N. Kornilov, A. V. Sharshatkin
Format: Article
Language:Russian
Published: Federal Research Center of Transplantology and Artificial Organs named after V.I.Shumakov 2011-06-01
Series:Vestnik Transplantologii i Iskusstvennyh Organov
Subjects:
Online Access:https://journal.transpl.ru/vtio/article/view/353
_version_ 1797872092693135360
author S. V. Gautier
Y. G. Moysyuk
O. E. Lutcevich
E. A. Gallyamov
A. S. Efimkin
M. N. Kornilov
A. V. Sharshatkin
author_facet S. V. Gautier
Y. G. Moysyuk
O. E. Lutcevich
E. A. Gallyamov
A. S. Efimkin
M. N. Kornilov
A. V. Sharshatkin
author_sort S. V. Gautier
collection DOAJ
description The aim of this study was to evaluate our experience on laparoscopic living donor nephrectomy (LDN). During the last 1,5 years we have gradually expanded the use of minimally invasive LDN with various techniques: strictly laparoscopic and hand-assisted laparoscopic. This comparative study is based on 250 conventional open LDN and 61 laparoscopic LDN. Minimally invasive hand-assisted technique was shown to be associated with a significantly lower risk of major complications and intraoperative incidents, as well as reduced warm ische- mia and operative time. There was no negative impact on recipient’s results. In our opinion, the introduction of hand-assisted technique is probably the most significant single factor for improved results, although accumulated experience and developments in equipment will contribute. Improvements in surgical outcomes following donor nephrectomy may enhance living donor programmes.
first_indexed 2024-04-10T00:53:19Z
format Article
id doaj.art-b4e762a3a575412083c7480cd6e70bad
institution Directory Open Access Journal
issn 1995-1191
language Russian
last_indexed 2024-04-10T00:53:19Z
publishDate 2011-06-01
publisher Federal Research Center of Transplantology and Artificial Organs named after V.I.Shumakov
record_format Article
series Vestnik Transplantologii i Iskusstvennyh Organov
spelling doaj.art-b4e762a3a575412083c7480cd6e70bad2023-03-13T10:37:21ZrusFederal Research Center of Transplantology and Artificial Organs named after V.I.ShumakovVestnik Transplantologii i Iskusstvennyh Organov1995-11912011-06-0113161610.15825/1995-1191-2011-1-6-16296COMPARATIVE ANALYSIS OF DONOR NEPHRECTOMY PERFORMED BY OPEN AND VARIOUS MODIFICATIONS OF LAPAROSCOPIC ACCESSS. V. Gautier0Y. G. Moysyuk1O. E. Lutcevich2E. A. Gallyamov3A. S. Efimkin4M. N. Kornilov5A. V. Sharshatkin6Academician V.I. Shumakov Federal Research Center of Transplantology and Artificial Organs, MoscowAcademician V.I. Shumakov Federal Research Center of Transplantology and Artificial Organs, MoscowFaculty Surgical Department No 1, Moscow State Medical-Dentistry University, MoscowAcademician V.I. Shumakov Federal Research Center of Transplantology and Artificial Organs, Moscow Faculty Surgical Department No 1, Moscow State Medical-Dentistry University, MoscowAcademician V.I. Shumakov Federal Research Center of Transplantology and Artificial Organs, MoscowAcademician V.I. Shumakov Federal Research Center of Transplantology and Artificial Organs, MoscowAcademician V.I. Shumakov Federal Research Center of Transplantology and Artificial Organs, MoscowThe aim of this study was to evaluate our experience on laparoscopic living donor nephrectomy (LDN). During the last 1,5 years we have gradually expanded the use of minimally invasive LDN with various techniques: strictly laparoscopic and hand-assisted laparoscopic. This comparative study is based on 250 conventional open LDN and 61 laparoscopic LDN. Minimally invasive hand-assisted technique was shown to be associated with a significantly lower risk of major complications and intraoperative incidents, as well as reduced warm ische- mia and operative time. There was no negative impact on recipient’s results. In our opinion, the introduction of hand-assisted technique is probably the most significant single factor for improved results, although accumulated experience and developments in equipment will contribute. Improvements in surgical outcomes following donor nephrectomy may enhance living donor programmes.https://journal.transpl.ru/vtio/article/view/353living donor nephrectomy (ldn)laparoscopyhand-assistance
spellingShingle S. V. Gautier
Y. G. Moysyuk
O. E. Lutcevich
E. A. Gallyamov
A. S. Efimkin
M. N. Kornilov
A. V. Sharshatkin
COMPARATIVE ANALYSIS OF DONOR NEPHRECTOMY PERFORMED BY OPEN AND VARIOUS MODIFICATIONS OF LAPAROSCOPIC ACCESS
Vestnik Transplantologii i Iskusstvennyh Organov
living donor nephrectomy (ldn)
laparoscopy
hand-assistance
title COMPARATIVE ANALYSIS OF DONOR NEPHRECTOMY PERFORMED BY OPEN AND VARIOUS MODIFICATIONS OF LAPAROSCOPIC ACCESS
title_full COMPARATIVE ANALYSIS OF DONOR NEPHRECTOMY PERFORMED BY OPEN AND VARIOUS MODIFICATIONS OF LAPAROSCOPIC ACCESS
title_fullStr COMPARATIVE ANALYSIS OF DONOR NEPHRECTOMY PERFORMED BY OPEN AND VARIOUS MODIFICATIONS OF LAPAROSCOPIC ACCESS
title_full_unstemmed COMPARATIVE ANALYSIS OF DONOR NEPHRECTOMY PERFORMED BY OPEN AND VARIOUS MODIFICATIONS OF LAPAROSCOPIC ACCESS
title_short COMPARATIVE ANALYSIS OF DONOR NEPHRECTOMY PERFORMED BY OPEN AND VARIOUS MODIFICATIONS OF LAPAROSCOPIC ACCESS
title_sort comparative analysis of donor nephrectomy performed by open and various modifications of laparoscopic access
topic living donor nephrectomy (ldn)
laparoscopy
hand-assistance
url https://journal.transpl.ru/vtio/article/view/353
work_keys_str_mv AT svgautier comparativeanalysisofdonornephrectomyperformedbyopenandvariousmodificationsoflaparoscopicaccess
AT ygmoysyuk comparativeanalysisofdonornephrectomyperformedbyopenandvariousmodificationsoflaparoscopicaccess
AT oelutcevich comparativeanalysisofdonornephrectomyperformedbyopenandvariousmodificationsoflaparoscopicaccess
AT eagallyamov comparativeanalysisofdonornephrectomyperformedbyopenandvariousmodificationsoflaparoscopicaccess
AT asefimkin comparativeanalysisofdonornephrectomyperformedbyopenandvariousmodificationsoflaparoscopicaccess
AT mnkornilov comparativeanalysisofdonornephrectomyperformedbyopenandvariousmodificationsoflaparoscopicaccess
AT avsharshatkin comparativeanalysisofdonornephrectomyperformedbyopenandvariousmodificationsoflaparoscopicaccess