Retroperitoneoscopic Living Donor Nephrectomy: A Retrospective Comparison to the Open Approach
2004; Wolters Kluwer; Volume: 78; Issue: 1 Linguagem: Inglês
10.1097/01.tp.0000134617.75420.e0
ISSN1534-6080
AutoresAlexander Bachmann, Michael Dickenmann, Lorenz Gürke, Olivier Giannini, Igor Langer, Thomas C. Gasser, Jürg Steiger, Tullio Sulser,
Tópico(s)Ureteral procedures and complications
ResumoA purely retroperitoneoscopic approach in living kidney donation is used by only a few centers worldwide. Data from 28 consecutive purely retroperitoneoscopic living donor nephrectomies (RLDN) were compared to the most recent 30 open living donor nephrectomies (OLDN). Right-sided donation was performed in 12 cases (43%) of the RLDN and 11 cases (37%) of the OLDN. Comparison of the results between the two groups showed a shorter operation time and hospital stay for the RLDN group (P < 0.001). Warm ischemia time was significantly shorter in the OLDN group (P < 0.02). The rate of complications did not differ significantly between the groups. No significant difference in terms of renal graft function was detected within 30 days after surgery. As a result of the direct access, RLDN is superior in terms of operation time, even to the open access on our series, while maintaining the advantage of minimal invasiveness.
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