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Evolution of Laparoscopic Donor Nephrectomy Techniques and Outcomes: A Single-Center Experience with More than 1000 Cases
BACKGROUND: Laparoscopic donor nephrectomy (LDN) has evolved and has been established as a surgical standard of care for kidney transplantation. MATERIAL/METHODS: This study retrospectively reviews 1132 patients who underwent 4 different laparoscopic living-donor nephrectomies: hand-assisted laparos...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
International Scientific Literature, Inc.
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7034519/ https://www.ncbi.nlm.nih.gov/pubmed/32041930 http://dx.doi.org/10.12659/AOT.918189 |
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author | Cho, Shin Jay Moon, Hyong Woo Kang, Sung-Min Choi, Sae Woong Kim, Kang Sup Choi, Yong-Sun Hong, Sung-Hoo Ha, U-Syn Lee, Ji Youl Kim, Sae Woong Kim, Joon Chul Cho, Hyuk Jin |
author_facet | Cho, Shin Jay Moon, Hyong Woo Kang, Sung-Min Choi, Sae Woong Kim, Kang Sup Choi, Yong-Sun Hong, Sung-Hoo Ha, U-Syn Lee, Ji Youl Kim, Sae Woong Kim, Joon Chul Cho, Hyuk Jin |
author_sort | Cho, Shin Jay |
collection | PubMed |
description | BACKGROUND: Laparoscopic donor nephrectomy (LDN) has evolved and has been established as a surgical standard of care for kidney transplantation. MATERIAL/METHODS: This study retrospectively reviews 1132 patients who underwent 4 different laparoscopic living-donor nephrectomies: hand-assisted laparoscopic nephrectomy (HALDN), pure laparoscopic donor nephrectomy (PLDN), laparoendoscopic single-site plus 1-port donor nephrectomy (LESSOP-DN), and mini laparoscopic donor nephrectomy (MLDN). RESULTS: The mean estimated blood loss (EBL) for the HALDN group was meaningfully higher than those of LESSOP-DN and MLDN (57.5±52.2 mL versus 21.0±30.0 mL versus 18.2±28.7 mL) (P<0.001). The EBL for PLDN (53.3±35.3 mL) was also significantly higher than those of LESSOP-DN and MLDN (P<0.001). Length of stay (LOS) for HALDN was longer than that for LESSOP-DN (4.2±1.2 day versus 4.0±1.4 days, P=0.002). There was 1 intraoperative open conversion in the HALDN group and 2 HALDN surgeries that required postoperative exploratory laparotomy. LESSOP-DN had 3 (0.8%) postoperative incisional hernias. For recipients, the results revealed no significant differences between all 4 groups in terms of estimated glomerular filtration rate (eGFR) and the 1-year graft failure rate. CONCLUSIONS: The LESSOP-DN group was associated with a shorter incision length than those of HALDN and PLDN and shorter LOS than that of HALDN. Recipient results showed no meaningful difference regarding laparoscopic donor nephrectomy technique. |
format | Online Article Text |
id | pubmed-7034519 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | International Scientific Literature, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-70345192020-03-09 Evolution of Laparoscopic Donor Nephrectomy Techniques and Outcomes: A Single-Center Experience with More than 1000 Cases Cho, Shin Jay Moon, Hyong Woo Kang, Sung-Min Choi, Sae Woong Kim, Kang Sup Choi, Yong-Sun Hong, Sung-Hoo Ha, U-Syn Lee, Ji Youl Kim, Sae Woong Kim, Joon Chul Cho, Hyuk Jin Ann Transplant Original Paper BACKGROUND: Laparoscopic donor nephrectomy (LDN) has evolved and has been established as a surgical standard of care for kidney transplantation. MATERIAL/METHODS: This study retrospectively reviews 1132 patients who underwent 4 different laparoscopic living-donor nephrectomies: hand-assisted laparoscopic nephrectomy (HALDN), pure laparoscopic donor nephrectomy (PLDN), laparoendoscopic single-site plus 1-port donor nephrectomy (LESSOP-DN), and mini laparoscopic donor nephrectomy (MLDN). RESULTS: The mean estimated blood loss (EBL) for the HALDN group was meaningfully higher than those of LESSOP-DN and MLDN (57.5±52.2 mL versus 21.0±30.0 mL versus 18.2±28.7 mL) (P<0.001). The EBL for PLDN (53.3±35.3 mL) was also significantly higher than those of LESSOP-DN and MLDN (P<0.001). Length of stay (LOS) for HALDN was longer than that for LESSOP-DN (4.2±1.2 day versus 4.0±1.4 days, P=0.002). There was 1 intraoperative open conversion in the HALDN group and 2 HALDN surgeries that required postoperative exploratory laparotomy. LESSOP-DN had 3 (0.8%) postoperative incisional hernias. For recipients, the results revealed no significant differences between all 4 groups in terms of estimated glomerular filtration rate (eGFR) and the 1-year graft failure rate. CONCLUSIONS: The LESSOP-DN group was associated with a shorter incision length than those of HALDN and PLDN and shorter LOS than that of HALDN. Recipient results showed no meaningful difference regarding laparoscopic donor nephrectomy technique. International Scientific Literature, Inc. 2020-02-11 /pmc/articles/PMC7034519/ /pubmed/32041930 http://dx.doi.org/10.12659/AOT.918189 Text en © Ann Transplant, 2020 This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) ) |
spellingShingle | Original Paper Cho, Shin Jay Moon, Hyong Woo Kang, Sung-Min Choi, Sae Woong Kim, Kang Sup Choi, Yong-Sun Hong, Sung-Hoo Ha, U-Syn Lee, Ji Youl Kim, Sae Woong Kim, Joon Chul Cho, Hyuk Jin Evolution of Laparoscopic Donor Nephrectomy Techniques and Outcomes: A Single-Center Experience with More than 1000 Cases |
title | Evolution of Laparoscopic Donor Nephrectomy Techniques and Outcomes: A Single-Center Experience with More than 1000 Cases |
title_full | Evolution of Laparoscopic Donor Nephrectomy Techniques and Outcomes: A Single-Center Experience with More than 1000 Cases |
title_fullStr | Evolution of Laparoscopic Donor Nephrectomy Techniques and Outcomes: A Single-Center Experience with More than 1000 Cases |
title_full_unstemmed | Evolution of Laparoscopic Donor Nephrectomy Techniques and Outcomes: A Single-Center Experience with More than 1000 Cases |
title_short | Evolution of Laparoscopic Donor Nephrectomy Techniques and Outcomes: A Single-Center Experience with More than 1000 Cases |
title_sort | evolution of laparoscopic donor nephrectomy techniques and outcomes: a single-center experience with more than 1000 cases |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7034519/ https://www.ncbi.nlm.nih.gov/pubmed/32041930 http://dx.doi.org/10.12659/AOT.918189 |
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