+ 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

Hybrid technique using a Satinsky clamp for right-sided transperitoneal hand-assisted laparoscopic donor nephrectomy: comparison with left-sided standard hand-assisted laparoscopic technique

Hybrid technique using a Satinsky clamp for right-sided transperitoneal hand-assisted laparoscopic donor nephrectomy: comparison with left-sided standard hand-assisted laparoscopic technique

Urology 84(6): 1529-1534

To introduce our hybrid technique using a Satinsky clamp for right-sided hand-assisted laparoscopic donor nephrectomy (HALDN) and to compare its effectiveness and safety with those of standard left-sided HALDN. We conducted a retrospective analysis of 253 patients, who underwent HALDN (51 right and 202 left) from January 2003 to December 2012. Perioperative outcomes including operative time, estimated blood loss, warm ischemic time, hospital stay, complications, and recovery of renal function in recipients were collected and compared between the right hybrid HALDN (rhHALDN) and left-sided HALDN groups. The procedure was performed successfully in all 253 patients. No statistical difference in the mean operation time (224.3 vs 217.5 minutes), estimated blood loss (128.1 vs 123.6 mL), warm ischemic time (3.3 vs 3.1 minutes), average time to oral intake (2.4 vs 2.1 days), and mean hospital stay (4.9 vs 5.5 days) was observed between the rhHALDN and left-sided HALDN groups (P >.05). Perioperative complication rates were not statistically different between rhHALDN (2 intraoperative, 3 postoperative; 9.8%) and left-sided HALDN (6 intraoperative, 22 postoperative; 13.9%) group (P = .328). No significant difference in mean serum creatinine level and glomerular filtration rate in recipients from postoperative day 1 to 1 year was observed between the 2 groups. The perioperative outcomes of rhHALDN using a Satinsky clamp were comparable with those of the left-sided standard HALDN. This hybrid technique can be a technically safe and feasible option for minimally invasive organ donation when right kidney donation is indicated.

Please choose payment method:

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

Accession: 058021056

Download citation: RISBibTeXText

PMID: 25432850

DOI: 10.1016/j.urology.2014.09.006

Related references

Right-sided transperitoneal hand-assisted laparoscopic donor nephrectomy: is there an issue with the renal vessels?. Journal of Endourology 24(12): 1947-1952, 2011

Prospective, nonrandomized comparison between right- and left-sided hand-assisted laparoscopic donor nephrectomy. Transplantation Proceedings 43(1): 353-356, 2011

Optimizing left-sided live kidney donation: hand-assisted retroperitoneoscopic as alternative to standard laparoscopic donor nephrectomy. Transplant International 23(4): 358-363, 2010

Can right-sided hand-assisted retroperitoneoscopic donor nephrectomy be advocated above standard laparoscopic donor nephrectomy: a randomized pilot study. Transplant International 27(2): 162-169, 2014

Transperitoneal deviceless hand-assisted laparoscopic living donor nephrectomy: an alternative technique for kidney recovery. Journal of Endourology 24(10): 1617-1623, 2011

Left-sided Hand Assisted Laparoscopic Radical Nephrectomy. Journal of Urology 165(5 Suppl.): 285, 2001

Should hand-assisted retroperitoneoscopic nephrectomy replace the standard laparoscopic technique for living donor nephrectomy? A meta-analysis. International Journal of Surgery 40: 83-90, 2017

Hand-assisted laparoscopic nephrectomy using a modified Satinsky clamp in an animal model. Journal of Urology 171(4 Suppl.): 57, 2004

Hand assisted laparoscopic donor nephrectomy Comparison to the open technique. Journal of Endourology 14(Suppl. 1): A57, 2000

Hand-assisted laparoscopic live donor nephrectomy (right-sided approach): experience obtained from 31 cases. Transplantation Proceedings 39(8): 2476-2477, 2007

Hand-assisted laparoscopic donor nephrectomy versus standard laparoscopic donor nephrectomy: a comparison study in the canine model. Techniques in Urology 5(3): 174-178, 1999

Right donor nephrectomy: a comparison of hand-assisted transperitoneal and retroperitoneal laparoscopic approaches. Transplantation 77(4): 521-525, 2004

Retroperitoneal laparoscopic live-donor nephrectomy: introduction of simple hand-assisted technique (without hand port). Transplantation Proceedings 43(5): 1415-1417, 2011

Laparoscopic living donor nephrectomy: a single-center sequential experience comparing hand-assisted versus standard technique. Urology 70(6): 1060-1063, 2007

Novel technique for hand assisted laparoscopic right donor nephrectomy. Journal of Urology 178(5): 2062-2066, 2007