Abstract
Background The objective of this study was to compare the safety and efficacy of three different methods to secure the renal vessels during laparoscopic donor nephrectomy (LDN). Methods Vessel lengths and intraoperative vascular complications were compared in a prospective series of 106 LDNs in which the vessels had been secured using a stapling device, metal clips, or polymer clips. Results One hundred six patients underwent LDN (right = 25, left = 81). Renal vein lengths were not significantly different after stapling or using polymer clips (36 ± 10 vs 37 ± 9 mm; P = .463). Renal arterial length was shorter after stapling (30 ± 7 mm) compared with both endoclips (34 ± 10 mm; P = .030) and polymer clips (34 ± 8 mm; P = .030). There was one major arterial bleed in the endoclip group, one episode of stapler malfunction, but no adverse events with polymer clips. Conclusion Polymer clips are safe and yield greater vessel lengths during LDN.
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