2257 CAN WE FURTHER DECREASE DONOR MORBIDITY WITH LAPARO-ENDOSCOPIC SINGLE SITE (LESS) DONOR NEPHRECTOMY?

Abstract

You have accessJournal of UrologyTransplantation & Vascular Surgery: Renal Transplantation, Vascular Surgery1 Apr 20112257 CAN WE FURTHER DECREASE DONOR MORBIDITY WITH LAPARO-ENDOSCOPIC SINGLE SITE (LESS) DONOR NEPHRECTOMY? Rajan Sharma, Abraham Kurien, Shashikant Mishra, Arvind Ganpule, Veeramani Muthu, Ravindra Sabnis, and Mahesh Desai Rajan SharmaRajan Sharma Nadiad, India More articles by this author , Abraham KurienAbraham Kurien Nadiad, India More articles by this author , Shashikant MishraShashikant Mishra Nadiad, India More articles by this author , Arvind GanpuleArvind Ganpule Nadiad, India More articles by this author , Veeramani MuthuVeeramani Muthu Nadiad, India More articles by this author , Ravindra SabnisRavindra Sabnis Nadiad, India More articles by this author , and Mahesh DesaiMahesh Desai Nadiad, India More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.2499AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The purpose of this study was to compare in a prospective randomized fashion the clinical outcomes following Standard Laparoscopic and LESS donor nephrectomy. METHODS Fifty voluntary renal donors were randomized to Standard Laparoscopic (Group A) and LESS (Group B) donor nephrectomy (January 2009 till February 2010). The primary end point of the study was patients' post-operative pain. The clinical outcomes, patient's quality of life, body image and cosmetic scores on follow up were also compared. RESULTS The operating time were similar in both groups. The surgeon's difficulty as measured in VAS was significantly more in group B in 4 out of 10 defined steps. The post-operative patient pain scores were similar till 48 hours following surgery (p=0.33), but following which the patients in group B had improved pain scores (p=0.0004). Analgesic requirement was similar in both arms (p=0.47). The warm ischemia times in group B (5.11±1.01 vs 7.15±1.84 minutes, p<0.0001) were longer but the total ischemia time in both groups were similar. All grafts had on-table urine output in the recipient. Intra-operative and post-operative complications in both groups were comparable. The patients in group B had shorter hospital stay (p=0.003). The eGFR of recipients at one year were comparable on both groups (80.87±22.12 vs 81.51±29.01 milliliters/minute, p=0.46). The donor's quality of life, body image and cosmetic scores were comparable in both groups. CONCLUSIONS LESS donor nephrectomy though challenging, reduces donor morbidity by providing early pain relief with shorter hospital stay and with comparable graft function. © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 4SApril 2011Page: e905 Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.MetricsAuthor Information Rajan Sharma Nadiad, India More articles by this author Abraham Kurien Nadiad, India More articles by this author Shashikant Mishra Nadiad, India More articles by this author Arvind Ganpule Nadiad, India More articles by this author Veeramani Muthu Nadiad, India More articles by this author Ravindra Sabnis Nadiad, India More articles by this author Mahesh Desai Nadiad, India More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...