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Lookup NU author(s): Colin Wilson,
Professor Naeem Soomro
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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.
Author(s): Wilson CH, Bhatti AA, Rix DA, Soomro NA
Publication type: Article
Publication status: Published
Journal: BJU International
ISSN (print): 1464-4096
ISSN (electronic): 1464-410X
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