47 Comparison between open and laparoscopic live donor nephrectomy

Abstract

Introduction: Renal replacement therapy is the best management for end stage renal failure. Laparoscopic Donor Nephrectomy (LDN), which is considered safe and effective, began in our unit in July 2003 with an average transplant rate of 12 per year. The aim of this study is to compare the donor morbidity, recovery and costs between Open Donor Nephrectomy (ODN) and LDN.Method: A retrospective consecutive series of all Donor Nephrectomies since June 2002 were included in this study. Operative details, postoperative donor recovery, donor and recipients renal functions were reviewed. The total costs will also be calculated and compared.Results: There were 18 LDN and 18 ODN (Total 36 cases) included in this series and equal number of male to female cases.Average operative time for ODN was 2.07 h and LDN was 3.36 h. There was no intra‐operative conversion from LDN to ODN and no peri‐operative morbidities in either group. The transplanted renal vessel lengths were also compared which showed an average artery length of 40 mm and vein length of 50 mm in the LDN group versus an average of 35 mm artery length and 30 mm vein length in the ODN group. The outcome of the recipient's renal function was not affected whether the donor had OPD or LDN. Average length of hospital stay was 6 days in ODN and 4.5 days in LDN. Costs data to follow.Conclusion: Laparoscopic Donor Nephrectomy (LDN) is safe and effective in a smaller renal transplant unit.