+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Early and late graft function after laparoscopic hand-assisted donor nephrectomy for living kidney transplantation: comparison with open donor nephrectomy



Early and late graft function after laparoscopic hand-assisted donor nephrectomy for living kidney transplantation: comparison with open donor nephrectomy



Urologia Internationalis 84(1): 61-66



Laparoscopic donor nephrectomy has become the procedure of choice for living kidney transplantation in many centers. We report on our experience with laparoscopic hand-assisted donor nephrectomy, in particular concerning graft function compared with open donor nephrectomy. Between 1995 and March 2007, 72 patients with end-stage renal disease have received kidney transplantation from living donors. Open living donor nephrectomy (ODN) was performed in 35 donors, whereas 37 donors had undergone laparoscopic hand-assisted nephrectomy (HALDN). Immediate graft function, serum creatinine and serum cystatin C 1 year after the transplantation were evaluated. Median operative time was 138 min (113-180 min) in the HALDN group and 112 min (91-162 min) in the ODN group (p < 0.05). Warm ischemia time was 87 s (63-150 s) in the HALDN and 81 s (56-123 s) in the ODN groups, respectively (p = 0.13). Both the rate of primary graft function as well as kidney graft function parameters serum creatinine and serum cystatin C 1 year after transplantation showed no statistically significant difference between the two groups of patients. Laparoscopic hand-assisted donor nephrectomy is safe and has no negative impact on the transplanted graft function when compared with open donor nephrectomy.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 052754824

Download citation: RISBibTeXText

PMID: 20173371

DOI: 10.1159/000273468


Related references

Early graft function in kidney transplantation: comparison between laparoscopic donor nephrectomy and open donor nephrectomy. Transplantation Proceedings 40(3): 685-686, 2008

Safety and Efficacy of Retroperitoneoscopic Living Donor Nephrectomy: Comparison of Early Complication, Donor and Recipient Outcome with Hand-Assisted Laparoscopic Living Donor Nephrectomy. Journal of Endourology 32(12): 1120-1124, 2018

Comparison of renal function recovery in donor and recipient after living donor nephrectomy: Hand-assisted laparoscopic vs. open procedures. European Urology Suppl.s 7(3): 195, 2008

Hand-assisted laparoscopic living-donor nephrectomy versus open surgery: evaluation of surgical trauma and late graft function in 82 patients. Transplantation Proceedings 41(10): 4039-4043, 2009

Hand-Assisted Retroperitoneoscopic Live Donor Nephrectomy in Comparison to Open and Laparoscopic Procedures: A Prospective Study on Donor Morbidity and Kidney Function. Journal of Urology 173(2): 480-481, 2005

Hand-Assisted Retroperitoneoscopic Live Donor Nephrectomy in Comparison to Open and Laparoscopic Procedures: A Prospective Study on Donor Morbidity and Kidney Function. Transplantation 78(1): 147-153, 2004

Hand-assisted retroperitoheoscopic live donor nephrectomy in comparison to open and laparoscopic procedures: A prospective study on donor morbidity and kidney function. Transplantation 78(1): 147-153, 2004

Early and late recipient graft function and donor outcome after laparoscopic vs open adult live donor nephrectomy for pediatric renal transplantation. Archives of Surgery 137(8): 908, 2002

A randomized clinical trial of living donor nephrectomy: a plea for a differentiated appraisal of mini-open muscle splitting incision and hand-assisted laparoscopic donor nephrectomy. Transplant International 25(9): 976-986, 2012

Comparison of open live donor nephrectomy, laparoscopic live donor nephrectomy, and hand-assisted live donor nephrectomy: a cost-minimization analysis. Journal of Surgical Research 176(2): E89-E94, 2012

Renal vein extension during living-donor kidney transplantation in the era of hand-assisted laparoscopic living-donor nephrectomy. Transplantation 99(4): 786-790, 2015

Hand-assisted laparoscopic donor nephrectomy: comparable donor/recipient outcomes, costs, and decreased convalescence as compared to open donor nephrectomy. Transplantation Proceedings 33(1-2): 1106-1107, 2001

Mini-incision versus hand-assisted laparoscopic donor nephrectomy in living-donor kidney transplantation: A retrospective cohort study. International Journal of Surgery 53: 339-344, 2018

Comparison of donor, and early and late recipient outcomes following hand assisted and laparoscopic donor nephrectomy. Journal of Urology 189(2): 618-622, 2013

Laparoscopic live donor nephrectomy has equivalent early and late renal function outcomes compared with open donor nephrectomy. Urology 65(5): 862-866, 2005