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- Title
Technical considerations and pitfalls in laparoscopic live donornephrectomy.
- Authors
Berends, F.; Hoed, P.; Bonjer, H.; Kazemier, G.; Riemsdijk, I.; Weimar, W.; IJzermans, J.; Berends, F J; den Hoed, P T; Bonjer, H J; van Riemsdijk, I; IJzermans, J N M
- Abstract
<bold>Background: </bold>Recent developments in laparoscopic solid organ surgery suggest a possible reduction in postoperative discomfort and disability for kidney donors. Technical aspects and the influence of surgical experience in laparoscopic donor nephrectomy were evaluated.<bold>Methods: </bold>The clinical outcome of 57 laparoscopic donor nephrectomies (LapNx) was compared with that for a historic control group of 27 open donor nephrectomies (OpenNx).<bold>Results: </bold>Three conversions to open nephrectomy (5.2%) were necessary. Postoperative complications were minor and comparable in both groups. Patients who underwent laparoscopic surgery demonstrated significantly less postoperative pain and a shorter hospital stay, but operative time and warm ischemia time were significantly longer. Graft survival after LapNx was 100% during a median follow-up period of 13 months. Operative time for LapNx decreased considerably with experience gained and seemed to be less for right nephrectomy. Stenotic ureter-bladder anastomoses occurred after LapNx in four patients during the first half year (7.0%), but this problem seemed to be resolved after modification of the technique.<bold>Conclusion: </bold>LapNx is associated with less postoperative discomfort and improved convalescence.
- Subjects
COMPARATIVE studies; GRAFT versus host reaction; LENGTH of stay in hospitals; KIDNEY transplantation; LAPAROSCOPY; LONGITUDINAL method; RESEARCH methodology; MEDICAL cooperation; POSTOPERATIVE pain; RESEARCH; EVALUATION research; TREATMENT effectiveness; DISEASE incidence; CASE-control method; NEPHRECTOMY
- Publication
Surgical Endoscopy & Other Interventional Techniques, 2002, Vol 16, Issue 6, p893
- ISSN
1866-6817
- Publication type
journal article
- DOI
10.1007/s004640090078