331.2: Laparoscopic transperitoneal living donor nephrectomy early experience at a single center in Saudi Arabia.

Abstract

Background: Renal transplantation is an appropriate treatment for end-stage renal disease. Laparoscopic donor nephrectomy has shown accretion in popularity as an effective way of kidney donation. Herein, we aim to present our early experience in laparoscopic donor nephrectomies. Methods: All laparoscopic donor nephrectomies data collected from our first case on 25-1-2016 till December 2018 were collected. Their demographic data, transfusion requirement, ischemia time intraoperative finding and post-operative complications were reviewed.the data were analyzed using SPSS statistical package were conducted. Results: 238 laparoscopic donor nephrectomies were done in this period 183 male 55 female with age range between(18-54) and average body mass index 30.8, 233 left side only 5 right side nephrectomies done. Seventy eight hand-assisted laparoscopic nephrectomy and 160 laparoscopic nephrectomies with a mean warm ischemia time 3 min 12 sec and mean blood loss is 75 ml. No patients needed blood transfusion the mean operative time 75 mints. Regarding Post-operative complication 7 patients have grade I and II surgical complications and managed conservatively. No statistically significant difference between the two laparoscopic techniques regarding the operative time and warm ischemia time. The mean hospital stays for 2.4 days. Conclusions: Laparoscopic donor nephrectomy has an excellent surgical outcome and no significant postoperative complications and short hospital stay.