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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Autores principales:	Osama Zaytoun, Moustafa Elsawy, Kareem Ateba, Ayman Khalifa, Ahmed Hamdy, Ahmed Mostafa
Formato:	article
Lenguaje:	EN
Publicado:	SpringerOpen 2021
Materias:	Kidney transplantation Laparoscopy Donor nephrectomy Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/71dd2307f44b45fabedbf447afd1b347
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spelling	oai:doaj.org-article:71dd2307f44b45fabedbf447afd1b3472021-11-21T12:14:57ZLaparoscopic donor nephrectomy: technique and outcome, a single-center experience10.1186/s12301-021-00254-71110-57041961-9987https://doaj.org/article/71dd2307f44b45fabedbf447afd1b3472021-11-01T00:00:00Zhttps://doi.org/10.1186/s12301-021-00254-7https://doaj.org/toc/1110-5704https://doaj.org/toc/1961-9987Abstract 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.Osama ZaytounMoustafa ElsawyKareem AtebaAyman KhalifaAhmed HamdyAhmed MostafaSpringerOpenarticleKidney transplantationLaparoscopyDonor nephrectomyDiseases of the genitourinary system. UrologyRC870-923ENAfrican Journal of Urology, Vol 27, Iss 1, Pp 1-6 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Kidney transplantation Laparoscopy Donor nephrectomy Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Kidney transplantation Laparoscopy Donor nephrectomy Diseases of the genitourinary system. Urology RC870-923 Osama Zaytoun Moustafa Elsawy Kareem Ateba Ayman Khalifa Ahmed Hamdy Ahmed Mostafa Laparoscopic donor nephrectomy: technique and outcome, a single-center experience
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.
format	article
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
title	Laparoscopic donor nephrectomy: technique and outcome, a single-center experience
title_short	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_sort	laparoscopic donor nephrectomy: technique and outcome, a single-center experience
publisher	SpringerOpen
publishDate	2021
url	https://doaj.org/article/71dd2307f44b45fabedbf447afd1b347
work_keys_str_mv	AT osamazaytoun laparoscopicdonornephrectomytechniqueandoutcomeasinglecenterexperience AT moustafaelsawy laparoscopicdonornephrectomytechniqueandoutcomeasinglecenterexperience AT kareemateba laparoscopicdonornephrectomytechniqueandoutcomeasinglecenterexperience AT aymankhalifa laparoscopicdonornephrectomytechniqueandoutcomeasinglecenterexperience AT ahmedhamdy laparoscopicdonornephrectomytechniqueandoutcomeasinglecenterexperience AT ahmedmostafa laparoscopicdonornephrectomytechniqueandoutcomeasinglecenterexperience
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Laparoscopic donor nephrectomy: technique and outcome, a single-center experience

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