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A Comparative Study of Laparoscopic with Conventional Open Donor Nephrectomy in Renal Transplantation
Authors:T Sinha  PP Varma  A Srivastava  SC Karan  AS Sandhu  GS Sethi  R Khanna  R Talwar  V Narang
Affiliation:1. School of Nursing, The University of Hong Kong, Pokfulam, Hong Kong;2. School of Public Health, The University of Hong Kong, Pokfulam, Hong Kong;3. Kaiser Foundation Research Institute, Menlo Park, CA;4. The Nethersole School of Nursing, The Chinese University of Hong Kong, Shatin, Hong Kong;1. Key Laboratory of Stem Cell Biology and Laboratory of Molecular Cardiology, Institute of Health Sciences, Shanghai Institutes for Biological Sciences (SIBS), Chinese Academy of Sciences (CAS) & Shanghai Jiao Tong University School of Medicine (SJTUSM), Shanghai, China;2. Division of Molecular Medicine, Department of Anesthesiology, David Geffen School of Medicine at UCLA, Los Angeles, USA;3. Department of Pharmacology, Yamagata University School of Medicine, Yamagata, Japan
Abstract:

Background

Laparoscopic donor nephrectomy (LDN) has been gaining popularity among kidney donors. There have been concerns about the safety and efficacy of the procedure as compared to open donor nephrectomy (ODN). We compare our results on LDN with ODN.

Methods

We retrospectively analysed our data of LDN and ODN. Duration of surgery, blood loss, period of hospitalisation, per oral intake and analgesic requirements.

Result

22 LDNs were done, the operation time ranged from 220-300 minutes, and blood loss from 100-150ml. In the first 10 laparoscopic operations four cases required conversion to open surgical dissection. Only one case was converted to open surgery in the subsequent 12 laparoscopic cases. Oral intake was started on the first postoperative day. Analgesic requirement in laparoscopy cases was less. Patients were mobilised on the first day after surgery. Patients were discharged by seventh day. There was no significant difference in the functioning of the graft after revascularisation in the recipient.

Conclusion

Laparoscopic donor nephrectomy is a safe and effective technique of donor nephrectomy.Key Words: Laparoscopy, Laparoscopic donor nephrectomy, Living kidney donors, Kidney transplantation
Keywords:Laparoscopy  Laparoscopic donor nephrectomy  Living kidney donors  Kidney transplantation
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