Toggle Main Menu Toggle Search

Open Access padlockePrints

Comparison of laparoscopic and open donor nephrectomy: UK experience

Lookup NU author(s): Professor Colin Wilson, David Rix, Professor Naeem Soomro


Full text for this publication is not currently held within this repository. Alternative links are provided below where available.


OBJECTIVE To compare our early experience of laparoscopic donor nelphrectomy (LDN) with a contemporary cohort of conventional open donor nelphrectomy (ODN). PATIENTS AND METHODS Transperitoneal left-sided LDN was offered to carefully selected potential live kidney donors on the basis of vascular anatomy. The first 20 donors who underwent LDN were compared with a control group of 20 patients who had ODN. Donors and recipients were compared for demographics, intraoperative variables, postoperative complications and allograft function. RESULTS There was no peri-operative mortality in either group. No laparoscopic procedure required open conversion. The operating time was comparable (165 vs 153 min); LDN was associated with significantly less intraoperative blood loss (200 vs 350 mL; Mann-Whitney U, P = 0.01) and hospital stay (3 vs 5 days; P < 0.001). The graft warm ischaemic time was significantly longer for LDN (5 vs 2 min; P < 0.001) but this did not appear to affect either the delayed graft function rate (5% vs 10%, not significant) or serum creatinine level at discharge (125 vs 126 mumol/L). CONCLUSIONS UK centres with experience of advanced laparoscopy and ODN can safely offer LDN to potential live donors.

Publication metadata

Author(s): Wilson CH, Bhatti AA, Rix DA, Soomro NA

Publication type: Article

Publication status: Published

Journal: BJU International

Year: 2005

Volume: 95

Issue: 1

Pages: 131-135

ISSN (print): 1464-4096

ISSN (electronic): 1464-410X


DOI: 10.1111/j.1464-410X.2004.05264.x


Altmetrics provided by Altmetric