Hand-Assisted Technique Facilitates Preserving Graft Viability in Laparoscopic Donor Nephrectomy

Abstract Background To achieve Patient Safety and minimal operative invasion in living kidney donor nephrectomy, we have performed hand-assisted laparoscopic donor nephrectomy (HALDoN) since 2006. Aim The aim of this study was to evaluate the utility and the technique of HALDoN. Method We analyzed 7...

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Bibliographic Details
Published in:Transplantation proceedings 2012, Vol.44 (1), p.26-29
Main Authors: Marui, Y, Nakamura, M, Tanaka, K, Tomikawa, S
Format: Article
Language:English
Subjects:
Adult
Aged
Biological and medical sciences
Digestive system. Abdomen
Endoscopy
Female
Fundamental and applied biological sciences. Psychology
Fundamental immunology
Graft Survival
Hand-Assisted Laparoscopy - adverse effects
Humans
Investigative techniques, diagnostic techniques (general aspects)
Japan
Kidney Transplantation - adverse effects
Laparoscopy - adverse effects
Living Donors
Male
Medical sciences
Middle Aged
Nephrectomy - adverse effects
Nephrectomy - methods
Postoperative Complications - etiology
Surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the urinary system
Time Factors
Tissue and Organ Harvesting - adverse effects
Tissue and Organ Harvesting - methods
Tissue Survival
Tissue, organ and graft immunology
Treatment Outcome
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Summary:Abstract Background To achieve Patient Safety and minimal operative invasion in living kidney donor nephrectomy, we have performed hand-assisted laparoscopic donor nephrectomy (HALDoN) since 2006. Aim The aim of this study was to evaluate the utility and the technique of HALDoN. Method We analyzed 72 donors who underwent HALDoN from February 2008–August 2011. Results Including 8/72 donors who underwent right nephrectomy, all subjects completed HALDoN without conversion to an open procedure. None of the recipients suffered delayed graft function or an ureteric problem. Knife-to-removal time (KRT) was longer among cases with graft weight (GW) >200 g than GW ≤200 g: 176.5 ± 35.1 minutes vs 142 ± 18.7 minutes ( P < .001). Longer KRT (>180 minutes) and right nephrectomy produced longer reperfusion-to-urine secretion time (RUT; P = .002 and P = .027, respectively). Grafts with double renal arteries (N = 10) also tended to show longer RUT ( P = .058). In a case with an early renal arterial branch
ISSN:0041-1345
1873-2623
DOI:10.1016/j.transproceed.2011.12.012