Laparoscopic Live Donor Nephrectomy: Comparison of Left-sided and Right-sided Approach in Our First 50 Cases

Objectives: To compare the operative results and outcomes between right and left laparoscopic live donor nephrectomy (LLDN). Methods: We retrospectively analyzed the first 50 consecutive LLDN in Indonesia performed between November 2011 and February 2013. Of these patients, 6 underwent right LLDNs and 44 left LLDNs. All patients underwent LLDNs in Cipto Mangunkusumo Hospital. All LLDNs were done by the same surgical teams. Intraoperative, post-operative donor and recipient data results were compared.Results: There were no significant differences of intraoperative, post-operative and recipient data results in both groups. The first warm ischemic time (mean±SD, 6min 55sec±145sec vs 7min 37sec±177 sec, p>0.05), the second warm ischemic time (41min 35sec ± 7min 45sec vs 48min 36sec ± 8min 41sec, p>0.05), and the operative time (4hour 41min ± 31min vs 4hour 32min ± 49 min, p>0.05) showed similar results in the right and left LLDN, respectively. Active mobilization on 72-hour post-operation was found in 83,3% in the right LLDN compared to 95,5% (p>0.05). There were no delayed graft function and post-operative hemodialysis within one week in the recipients of right LLDN group. Conclusion: Right LLDN has equal operative results and outcomes compared to left LLDN. Right-sided LLDN may be a judicious approach for donors with unfavorable characteristics of the left kidney.

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Warm Ischemic Time During Laparoscopic Live Donor Nephrectomy: Effects on Graft Function

Transplantation Proceedings ◽

10.1016/j.transproceed.2004.12.209 ◽

2005 ◽

Vol 37 (2) ◽

pp. 620-622 ◽

Cited By ~ 16

Author(s):

R.E. Soulsby ◽

L.J. Evans ◽

K.M. Rigg ◽

M. Shehata

Keyword(s):

Graft Function ◽

Donor Nephrectomy ◽

Live Donor ◽

Ischemic Time ◽

Warm Ischemic Time ◽

Live Donor Nephrectomy ◽

Laparoscopic Live Donor Nephrectomy

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SHOULD THE RIGHT KIDNEY BE USED IN LAPAROSCOPIC LIVE DONOR NEPHRECTOMY?

Transplantation Journal ◽

10.1097/00007890-200004271-01116 ◽

2000 ◽

Vol 69 (Supplement) ◽

pp. S403 ◽

Cited By ~ 14

Author(s):

Aloke K. Mandal ◽

Andrew N. Kalligonis ◽

Cynthia Cohen ◽

Robert A. Montgomery ◽

Louis R. Kavoussi ◽

...

Keyword(s):

Donor Nephrectomy ◽

Live Donor ◽

Live Donor Nephrectomy ◽

The Right ◽

Laparoscopic Live Donor Nephrectomy

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The Detrimental Effect of Poor Early Graft Function After Laparoscopic Live Donor Nephrectomy on Graft Outcomes

American Journal of Transplantation ◽

10.1111/j.1600-6143.2008.02477.x ◽

2009 ◽

Vol 9 (2) ◽

pp. 337-347 ◽

Cited By ~ 33

Author(s):

J. M. Nogueira ◽

A. Haririan ◽

S. C. Jacobs ◽

M. R. Weir ◽

H. A. Hurley ◽

...

Keyword(s):

Detrimental Effect ◽

Graft Function ◽

Donor Nephrectomy ◽

Live Donor ◽

Live Donor Nephrectomy ◽

Early Graft ◽

Laparoscopic Live Donor Nephrectomy

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

Journal of Transplantation ◽

10.1155/2013/546373 ◽

2013 ◽

Vol 2013 ◽

pp. 1-7 ◽

Cited By ~ 4

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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Factors Related to Delayed Graft Function After Laparoscopic Live Donor Nephrectomy

The Journal of Urology ◽

10.1097/01.ju.0000098819.79442.ce ◽

2004 ◽

Vol 171 (1) ◽

pp. 52-57 ◽

Cited By ~ 46

Author(s):

SIDNEY C. ABREU ◽

DAVID A. GOLDFARB ◽

ITHAAR DERWEESH ◽

JULIE THORNTON ◽

JEAN L. URBAIN ◽

...

Keyword(s):

Graft Function ◽

Donor Nephrectomy ◽

Delayed Graft Function ◽

Live Donor ◽

Live Donor Nephrectomy ◽

Laparoscopic Live Donor Nephrectomy

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DELAYED GRAFT FUNCTION FOLLOWING LAPAROSCOPIC LIVE DONOR NEPHRECTOMY: A MULTIVARIATE ANALYSIS

Indonesian Journal of Urology ◽

10.32421/juri.v23i2.208 ◽

2016 ◽

Vol 23 (2) ◽

Author(s):

Pande Made Wisnu Tirtayasa ◽

Gerhard Reinaldi Situmorang ◽

Arry Rodjani ◽

Nur Rasyid

Keyword(s):

Risk Factors ◽

Multivariate Analysis ◽

Graft Function ◽

Donor Nephrectomy ◽

Delayed Graft Function ◽

Live Donor ◽

Ischemia Time ◽

Live Donor Nephrectomy ◽

Incidence Risk ◽

Laparoscopic Live Donor Nephrectomy

Objective: This study was performed to define and investigate the incidence, risk factors, and clinical characteristics of delayed graft function (DGF) in laparoscopic live donor nephrectomy (LDN). Material & methods: We retrospectively analyzed the medical records of donor and recipient from our first 100 cases of laparoscopic LDN in Cipto Mangunkusumo General Hospital Jakarta, from November 2011 to February 2014. The criteria used to define DGF were the requirement for dialysis in postoperative week 1 and/or serum creatinine greater than 2.5 mg/dl at postoperative day 7. Patients who did not match any of these criteria were define as having normal renal allograft function. Results: The overall prevalence of DGF was 14%. Recipients body mass index, cold ischemia time, vascular anastomosis time, and total ischemia time were higher among the delayed graft function group, but no risk factors for DGF were significantly associated after multivariate analysis. Conclusion: The incidence of DGF in our study was in the range of that observed in previous studies. The factors that previously reported and believed as risk factors of DGF in laparoscopic LDN were not significantly associated with the development of DGF in our study.

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