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- Title
Comparison between laparoscopic and subcostal mini-incision for live donor nephrectomy.
- Authors
Kanashiro, Hideki; Lopes, Roberto Iglesias; Saito, Fernando Akira; Mitre, Anuar Ibrahim; Denes, Francisco Tibor; Chambô, José Luis; Falci Jr, Renato; Piovesan, Affonso Celso; Neto, Elias David; Nahas, William Carlos
- Abstract
Objectives: The aim of this study was to compare the results of laparoscopic donor nephrectomy with open donor nephrectomy. Methods: A non-randomized prospective analysis was conducted of living donor kidney transplantations (118 open donor nephrectomies; 57 laparoscopic donor nephrectomies) between January 2005 and December 2007 in the Kidney Transplantation Unit of Hospital das Clínicas of Faculdade de Medicina of the Universidade de São Paulo. Results: Mean donor operative time, mean donor hospital stay, mean postoperative creatinine values, and rates of complications and graft survival were similar for both groups. A significant statistical difference in warm ischemia time was observed between the open donor nephrectomy and laparoscopic donor nephrectomy groups (p < 0.001). There was only one conversion in the laparoscopic donor nephrectomy group. Conclusions: Laparoscopic donor nephrectomy is a safe procedure for a donor nephrectomy, comparable to an open procedure with similar results despite a longer warm ischemia time.
- Subjects
SAO Paulo (Brazil); BRAZIL; LONGITUDINAL method; NEPHRECTOMY; LAPAROSCOPY; KIDNEY transplantation; ORGAN donors
- Publication
Einstein (16794508), 2010, Vol 8, Issue 4, p456
- ISSN
1679-4508
- Publication type
Article
- DOI
10.1590/s1679-45082010ao1671