Laparoscopic Living Donor Nephrectomy—Single-Center Initial Experience

(1) Background: Donor nephrectomy for living donor kidney transplantation using minimally invasive techniques is a safe procedure that has been used for more than 20 years with excellent results. The total laparoscopic approach offers decreased postoperative pain, less incisional morbidity, and a shorter recovery time. (2) Methods: We present the results of a series of 43 laparoscopic donor nephrectomies performed in a single center. The procedures were performed in a systematic approach with transperitoneal access using four ports. The main renal artery and vein were ligated using a linear stapler fixed with an alternate triple row of titanium staples. The specimen was extracted in an endoscopic bag through an additional incision. (3) Results: All procedures were performed laparoscopically without conversion to open surgery. The average warm ischemia time was 4.73 min. In all recipients, immediate kidney allograft function was observed. (4) Conclusions: Total laparoscopic living donor nephrectomy is a safe procedure. It was performed successfully in all cases with a short surgical time, low morbidity, and 0% mortality.

[1]  M. Bolanowski,et al.  Is a Patient with Paget’s Disease of Bone Suitable for Living Kidney Donation?—Decision-Making in Lack of Clinical Evidence , 2022, Journal of clinical medicine.

[2]  G. Saracino,et al.  Laparoscopic Versus Finger-Assisted Open Donor Nephrectomy Technique: A Possible Safe Alternative. , 2020, Experimental and clinical transplantation : official journal of the Middle East Society for Organ Transplantation.

[3]  B. Małkiewicz,et al.  Computed Tomography Parameters and Estimated Glomerular Filtration Rate Formulas for Peridonation Living Kidney Donor Assessment. , 2020, Transplantation proceedings.

[4]  T. Schlomm,et al.  Robot-Assisted versus Laparoscopic Donor Nephrectomy: A Comparison of 250 Cases , 2020, Journal of clinical medicine.

[5]  B. Małkiewicz,et al.  Preoperative Computed Tomography Parameters and Deterioration of Remaining Kidney Function in Living Donors. , 2018, Transplantation Proceedings.

[6]  J. Werner,et al.  Comparison of the laparoscopic versus open live donor nephrectomy: an overview of surgical complications and outcome , 2014, Langenbeck's Archives of Surgery.

[7]  A. Waterman,et al.  Improving Preemptive Transplant Education to Increase Living Donation Rates: Reaching Patients Earlier in Their Disease Adjustment Process , 2008, Progress in transplantation.

[8]  G. Haber,et al.  Laparoscopic partial nephrectomy in patients with compromised renal function. , 2008, Urology.

[9]  M. Abecassis,et al.  Proposed classification of complications after live donor nephrectomy. , 2006, Urology.

[10]  S. Takahara,et al.  [Laparoscopic live donor nephrectomy]. , 2004, Nihon Jinzo Gakkai shi.

[11]  J. Robbs,et al.  Why we use the donor left kidney in live related transplantation. , 2003, South African journal of surgery. Suid-Afrikaanse tydskrif vir chirurgie.

[12]  B. Guillonneau,et al.  Proposal for a ‘European Scoring System for Laparoscopic Operations in Urology’ , 2001, European Urology.

[13]  J. Rogers,et al.  Laparoscopic Donor Nephrectomy: Impact on an Established Renal Transplant Program , 2000, The American surgeon.

[14]  I. Gill,et al.  Laparoscopic donor nephrectomy. , 2005, Urology.

[15]  A. Alcaraz,et al.  [The living kidney donor: laparoscopy versus open surgery]. , 2005, Nefrologia : publicacion oficial de la Sociedad Espanola Nefrologia.