Abstract
Objective: Laparoscopic donor nephrectomy is included in advanced laparoscopic surgical procedures and is the most preferred method for live donor nephrectomy. It is discussed that teams who do not have experience with live donor nephrectomy prefer the laparoscopic method for the first experience in kidney transplantation. The present manuscript is aimed to present the results of laparoscopic live donor nephrectomy who’s the first 51 cases of a surgical team without any experience of open donor nephrectomy. Method: The medical records of donor nephrectomy which laparoscopic surgery was performed between April 2019-August 2020 reviewed retrospectively. Demographic features, routine transplantation preoperative data, donor nephrectomy side and reasons, surgical technique details, operation time, warm ischemia time, postoperative laboratory parameters, hospitalization time, early morbidity results were evaluated in detail. Result: Results of 51 donors between the specified dates were evaluated. The mean age of the patients was 44.6 ± 11.6 (22-69) years. The patients’ K / E ratio was 25/26. The number of patients with BMI⩾30 was 14 (27.4%). Right nephrectomy was performed on ten donors (19.6%). The mean operative time of the patients was 130 min. (120-160), and the mean warm ischemia time was 149 sec. (113-180). Postoperative complications were in 4 patients (7.8%). Conclusion: The laparoscopic method for live donor nephrectomy may be applied in safe from the initial stage by teams with advanced minimally invasive surgery experience.
Highlights
Renal transplantation (RT) is considered the best treatment option in last stage kidney failure and promises better survival rates than dialysis [1]
Live donor nephrectomy (LDN), wherefore it is a surgical technique related to the main vascular structures, has the possibility of postoperative complications, and is a considerable surgical procedure because the people to whom the procedure is applied are healthy individuals
The minimally invasive technique has come to the fore in RT as in all other surgeries, and since the first laparoscopic nephrectomy (LN) surgery had performed in 1995, they have been started to be recommended as the standard method today [3,4,5,6]
Summary
Renal transplantation (RT) is considered the best treatment option in last stage kidney failure and promises better survival rates than dialysis [1]. This better survival is due to improvements in surgical technique, increased quality in postoperative care and the introduction of individualized immunosuppressive treatment protocols and had improved transplant results [2]. The present study is aimed to exhibit the results of a surgical team that had performed LDN operations initially and the appropriateness of the laparoscopic method for beginners for the surgical procedure is discussed early surgical results are discussed in the light of current literature data
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