scholarly journals PD45-12 INTRAOPERATIVE MANNITOL ADMINISTRATION DURING LAPAROSCOPIC DONOR NEPHRECTOMY AND IMPACT ON LONG-TERM GRAFT FUNCTION

2021 ◽  
Vol 206 (Supplement 3) ◽  
Author(s):  
Gustavo Gryzinski ◽  
Jason Farrow ◽  
Clinton Bahler ◽  
Chandru Sundaram
Keyword(s):  
Graft Function ◽  
Donor Nephrectomy ◽  
Laparoscopic Donor Nephrectomy

Article Commentary: The Role of Laparoscopic Donor Nephrectomy in Renal Transplantation

2010 ◽  
Vol 76 (4) ◽  
pp. 349-353 ◽  
Author(s):  
Mary Eng
Keyword(s):  
Renal Transplantation ◽  
Graft Function ◽  
Donor Nephrectomy ◽  
Laparoscopic Donor Nephrectomy ◽  
Donor Pool ◽  
Number Of Patients ◽  
Stage Renal Disease ◽  
End Stage ◽  
Renal Transplantations

Renal transplantation is an effective treatment for patients with end-stage renal disease. Unfortunately, the number of patients waiting for transplantation greatly exceeds the number of suitable organs. Use of live kidney donors can increase the donor pool. Historically, donor nephrectomy was performed as an open technique. Its associated prolonged convalescence and long-term morbidity was likely a disincentive to donate. Laparoscopic donor nephrectomy, however, has been shown to have fewer long-term complications without compromising graft function. Since its inception, there has been an increase in the number of live donor renal transplantations performed.

Risk Factors for Delayed Graft Function After Hand-Assisted Laparoscopic Donor Nephrectomy

2010 ◽  
Vol 42 (7) ◽  
pp. 2422-2426 ◽  
Author(s):  
R.C. Minnee ◽  
W.A. Bemelman ◽  
K.A.M.I. Donselaar-van der Pant ◽  
J. Booij ◽  
S. ter Meulen ◽  
...  
Keyword(s):  
Risk Factors ◽  
Graft Function ◽  
Donor Nephrectomy ◽  
Delayed Graft Function ◽  
Laparoscopic Donor Nephrectomy

Warm ischemia time does not correlate with recipient graft function in laparoscopic donor nephrectomy

2003 ◽  
Vol 17 (5) ◽  
pp. 746-749 ◽  
Author(s):  
M. M. Buzdon ◽  
E. Cho ◽  
S. C. Jacobs ◽  
B. Jarrell ◽  
J. L. Flowers
Keyword(s):  
Graft Function ◽  
Warm Ischemia ◽  
Donor Nephrectomy ◽  
Warm Ischemia Time ◽  
Laparoscopic Donor Nephrectomy ◽  
Ischemia Time

Comparison of Outcomes of Open versus Laparoscopic Living Donor Nephrectomy in Nepal

2020 ◽  
Vol 42 (1) ◽  
pp. 31-35
Author(s):  
Prem R Sigdel ◽  
Diwas Gnyawali ◽  
Bipendra DK Rai ◽  
Pawan Dhital ◽  
Purushottam Parajuli ◽  
...  
Keyword(s):  
Hospital Stay ◽  
Demographic Data ◽  
Graft Function ◽  
Length Of Hospital Stay ◽  
Warm Ischemia ◽  
Donor Nephrectomy ◽  
Warm Ischemia Time ◽  
Laparoscopic Donor Nephrectomy ◽  
Ischemia Time ◽  
Living Donor Nephrectomy

Introduction Laparoscopic donor nephrectomy is the gold standard for kidney retrieval in live donors. Until recently, donor nephrectomies were performed only by open technique in Nepal. There is no information on the experience and outcomes of laparoscopic donor nephrectomy in Nepal. The study was done to compare the outcomes among donors undergoing open and laparoscopic nephrectomies, and to compare the graft related outcomes between the two groups receiving these kidneys. MethodsIn this retrospective study, 44 kidney donors from March 2019 to October 2019 were analyzed. Donors were divided into 2 groups: open donor nephrectomy (ODN) and laparoscopic donor nephrectomy (LDN). Parameters for analysis included demographic data, warm ischemia time, surgery time and length of hospital stay. Data on early graft function and complications in recipients till 30th post-operative day were compared. ResultsThere were 22 donors each in the ODN and LDN groups. Baseline characteristics of the donors were comparable between two groups. Mean surgery duration (183.55±43.31 minutes vs 117.73±18.75 minutes) and first warm ischemia time (11.22±4.34 minutes vs 2.3±0.8 minutes) was significantly high in LDN. Hemoglobin drop, post-operative complications in donors, creatinine of donors at discharge, mean hospital stay, graft function at one month and complications in recipients were comparable among ODN and LDN. Pain score in 1st post-operative day was comparable between two groups, however, pain was significantly less in second post-operative day in LDN. ConclusionLaparoscopic donor nephrectomy is feasible in Nepal and associated with acceptable morbidity and graft function when compared to ODN.

Pure Laparoscopic Donor Nephrectomy: 3-Year Experience and Analysis of a Refined Technique to Maximize Graft Function

2008 ◽  
Vol 22 (10) ◽  
pp. 2275-2284 ◽  
Author(s):  
David Canes ◽  
Jessica A. Mandeville ◽  
Rodney J. Taylor ◽  
Andrea Sorcini ◽  
Ingolf A. Tuerk
Keyword(s):  
Graft Function ◽  
Donor Nephrectomy ◽  
Laparoscopic Donor Nephrectomy ◽  
Refined Technique

Long-Term Graft Function in a Randomized Clinical Trial Comparing Laparoscopic Versus Open Donor Nephrectomy

2012 ◽  
Vol 10 (5) ◽  
pp. 428-432 ◽  
Author(s):  
Nasser Simforoosh ◽  
Abbas Basiri ◽  
Nasser Shakhssalim ◽  
Shahram Gooran ◽  
Ali Tabibi ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Graft Function ◽  
Donor Nephrectomy

Single-Center Analysis of Living Donor Nephrectomy: Hand-Assisted Laparoscopic, Pure Laparoscopic, and Traditional Open

2002 ◽  
Vol 12 (3) ◽  
pp. 208-211 ◽  
Author(s):  
Douglas P. Slakey ◽  
Julie Cauvin Hahn ◽  
Ethan Rogers ◽  
Philippe M. Gauthier ◽  
Gilberto Ruiz-Deya ◽  
...  
Keyword(s):  
Kidney Function ◽  
Living Donor ◽  
Graft Function ◽  
Laparoscopic Group ◽  
Donor Nephrectomy ◽  
Laparoscopic Technique ◽  
Complication Rates ◽  
Living Donor Nephrectomy

Context Laparoscopic living donor nephrectomy has been shown to be a safe method for removing kidneys for transplantation, but concerns have been raised regarding safety and long-term kidney function. Objective To compare safety and long-term kidney function in hand-assisted laparoscopic, pure laparoscopic, and traditional open living donor nephrectomy. Method The charts of 48 patients with more than 1 year follow-up were reviewed. Thirty-four consecutive patients underwent laparoscopic live donor nephrectomy, and 14 had open donor nephrectomy. All kidneys functioned immediately at transplantation. In the laparoscopic group, 11 had the pure laparoscopic technique, and 23 patients had hand-assisted laparoscopic nephrectomy. Results Total operative and warm ischemic times were reduced with the hand-assisted technique when compared with pure laparoscopy. Operative and warm ischemic times were similar in open nephrectomy and hand-assisted laparoscopy. Long-term follow-up of serum creatinine levels revealed no significant differences between the 3 groups. Complication rates in the 3 groups were similar. Conclusion Laparoscopic donor nephrectomy appears to be comparable to open donor nephrectomy in terms of safety and long-term graft function.

scholarly journals Impact of Right-Sided Nephrectomy on Long-Term Outcomes in Retroperitoneoscopic Live Donor Nephrectomy at Single Center

2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Kazuya Omoto ◽  
Taiji Nozaki ◽  
Masashi Inui ◽  
Tomokazu Shimizu ◽  
Toshihito Hirai ◽  
...  
Keyword(s):  
Graft Survival ◽  
Graft Function ◽  
Renal Vein Thrombosis ◽  
Donor Nephrectomy ◽  
Live Donor ◽  
Ischemic Time ◽  
Vein Thrombosis ◽  
Live Donor Nephrectomy ◽  
Significant Difference

Objective.To assess the long-term graft survival of right-sided retroperitoneoscopic live donor nephrectomy (RPLDN), we compared the outcomes of right- and left-sided RPLDN.Methods.Five hundred and thirty-three patients underwent live donor renal transplantation with allografts procured by RPLDN from July 2001 to August 2010 at our institute. Of these, 24 (4.5%) cases were selected for right-sided RPLDN (R-RPLDN) according to our criteria for donor kidney selection. Study variables included peri- and postoperative clinical data.Results.No significant differences were found in the recipients' postoperative graft function and incidence of slow graft function. Despite significant increased warm ischemic time (WIT: mean 5.9 min versus 4.7 min, ) in R-RPLDN compared to that in L-RPLDN, there was no significant difference between the two groups regarding long-term patient and graft survival. The complication rate in R-RPLDN was not significantly different compared to that in L-RPLDN (17% versus 6.5%, ). No renal vein thrombosis was experienced in either groups.Conclusions.Although our study was retrospective and there was only a small number of R-RPLDN patients, R-RPLDN could be an option for laparoscopic live donor nephrectomy because of similar results, with the sole exception of WIT, in L-RPLDN, and its excellent long-term graft outcomes.

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