Laparoscopic right donor nephrectomy: Technique and comparison with left nephrectomy

D. E. Swartz, E. Cho, J. L. Flowers, Brian J. Dunkin, J. R. Ramey, S. T. Bartlett, B. Jarrell, S. C. Jacobs

Research output: Contribution to journalArticle

26 Scopus citations

Abstract

Background: Laparoscopic donor nephrectomy (LDN) preferentially involves the left kidney to optimize vessel length, but occasionally, right nephrectomy is preferred. Right LDN differs markedly in anatomic relations and the need for a fourth port. This retrospective study compares donor outcomes and graft function of right and left LDN and describes the technique. Methods: Consecutive patients undergoing right LDN from March 26, 1996 to December 31, 2000 were compared with those undergoing left LDN. Age, height, weight, body mass index, creatinine, creatinine clearance, operative time, warm ischemia time, analgesic requirements, serial postoperative creatinine, time to diet resumption, and hospital stay were compared. A second cohort matched for age, gender, race, and temporal left LDN also were compared with the group undergoing right LDN. Results: No significant differences were found for any of the parameters measured. Conclusion: This study demonstrates that despite substantial differences in the procedures, donor outcome and graft survival are similar for right and left LDN.

Original languageEnglish (US)
Pages (from-to)1390-1394
Number of pages5
JournalSurgical Endoscopy
Volume15
Issue number12
DOIs
StatePublished - Jan 1 2001

Keywords

  • Kidney transplantation
  • Laparoscopic donor nephrectomy
  • Laparoscopy
  • Nephrectomy

ASJC Scopus subject areas

  • Surgery

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