Our Experience of Laparoscopic Living Donor Nephrectomy

Abstract

Background Donor nephrectomy for living donor kidney transplantation using minimally invasive techniques is a safe procedure that has been used for more than 20 years with excellent results. The total minimally invasive approach offers decreased postoperative pain, better cosmesis, a lower chance of incisional hernia, and a faster recovery time. Methods We present the results of a series of 120 laparoscopic donor nephrectomies performed at our center. The procedures were performed with transperitoneal access using the standard five ports. The main renal artery and vein were ligated using a hemo-o-lock clip. The specimen was extracted through the additional inguinal incision. Results All procedures were performed laparoscopically without conversion to open surgery. The average warm ischemia time was 4.0 min. In all recipients, immediate kidney allograft function was seen. Conclusion Total laparoscopic living donor nephrectomy is a safe procedure that gives the highest benefit to the donor. It was performed successfully in all cases, with a short operative time and no morbidity or mortality.