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A decade of minimally invasive donation: experience with more than 1200 laparoscopic donor nephrectomies at a single institution.

Publication ,  Journal Article
Leventhal, JR; Paunescu, S; Baker, TB; Caciedo, JC; Skaro, A; Kocak, B; Gallon, L; Friedewald, J; Luo, X; Kaufman, DB; Fryer, JP; Abecassis, MM
Published in: Clin Transplant
2010

BACKGROUND: The past decade has seen laparoscopic donor nephrectomy (LDN) transform into a standard of care procedure. Furthermore, LDN has evolved with the introduction of new technologies aimed at increasing efficiency and safety. There are few large, single center experiences detailing the results of LDN, its associated complications, and their management. METHODS: We performed a retrospective review of 1200 LDN performed at our center for both pediatric and adult recipients. RESULTS: Mean body mass index of donors was 27.1 (range 17-48). Twenty-six percent of kidneys had multiple renal arteries. Greater than 99% were left LDN. Mean length of stay was 1.37 +/- 0.6 d, which decreased to 1.1 +/- 0.5 d for the last 475 cases. The overall complication rate was 5.6%. Among those patients, 1.6% of the patients experienced an intraoperative complication, including eight renovascular injuries; 7/8 renovascular injuries led to open conversion. Four conversions were elective; our overall conversion rate was 0.92%; 4.0% had a post-operative complication; 1.2% required readmission for complication management. Three of 1200 patients have required reoperation for prolonged ileus and internal hernia (2), respectively. There have been no cases of donor renal failure or death. Since 2003, we have routinely used hand-assisted LDN (HALDN). There have been no cases of primary non-function. Urologic complications have been uncommon. CONCLUSIONS: Our series supports the safety and efficacy of LDN/HALDN.

Duke Scholars

Published In

Clin Transplant

DOI

EISSN

1399-0012

Publication Date

2010

Volume

24

Issue

2

Start / End Page

169 / 174

Location

Denmark

Related Subject Headings

  • Treatment Outcome
  • Surgery
  • Retrospective Studies
  • Postoperative Complications
  • Nephrectomy
  • Middle Aged
  • Living Donors
  • Length of Stay
  • Laparoscopy
  • Kidney Transplantation
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Leventhal, J. R., Paunescu, S., Baker, T. B., Caciedo, J. C., Skaro, A., Kocak, B., … Abecassis, M. M. (2010). A decade of minimally invasive donation: experience with more than 1200 laparoscopic donor nephrectomies at a single institution. Clin Transplant, 24(2), 169–174. https://doi.org/10.1111/j.1399-0012.2009.01199.x
Leventhal, Joseph R., Smaranda Paunescu, Talia B. Baker, Juan Carlos Caciedo, Anton Skaro, Burak Kocak, Lorenzo Gallon, et al. “A decade of minimally invasive donation: experience with more than 1200 laparoscopic donor nephrectomies at a single institution.Clin Transplant 24, no. 2 (2010): 169–74. https://doi.org/10.1111/j.1399-0012.2009.01199.x.
Leventhal JR, Paunescu S, Baker TB, Caciedo JC, Skaro A, Kocak B, et al. A decade of minimally invasive donation: experience with more than 1200 laparoscopic donor nephrectomies at a single institution. Clin Transplant. 2010;24(2):169–74.
Leventhal, Joseph R., et al. “A decade of minimally invasive donation: experience with more than 1200 laparoscopic donor nephrectomies at a single institution.Clin Transplant, vol. 24, no. 2, 2010, pp. 169–74. Pubmed, doi:10.1111/j.1399-0012.2009.01199.x.
Leventhal JR, Paunescu S, Baker TB, Caciedo JC, Skaro A, Kocak B, Gallon L, Friedewald J, Luo X, Kaufman DB, Fryer JP, Abecassis MM. A decade of minimally invasive donation: experience with more than 1200 laparoscopic donor nephrectomies at a single institution. Clin Transplant. 2010;24(2):169–174.
Journal cover image

Published In

Clin Transplant

DOI

EISSN

1399-0012

Publication Date

2010

Volume

24

Issue

2

Start / End Page

169 / 174

Location

Denmark

Related Subject Headings

  • Treatment Outcome
  • Surgery
  • Retrospective Studies
  • Postoperative Complications
  • Nephrectomy
  • Middle Aged
  • Living Donors
  • Length of Stay
  • Laparoscopy
  • Kidney Transplantation