1. Evolution of Laparoscopic Donor Nephrectomy Techniques and Outcomes: A Single-Center Experience with More than 1000 Cases
- Author
-
Sae Woong Choi, Sung-Hoo Hong, Joon Chul Kim, Shin Jay Cho, Ji Youl Lee, Sae Woong Kim, Sungmin Kang, Kang Sup Kim, Hyong Woo Moon, Yong-Sun Choi, Hyuk Jin Cho, and U-Syn Ha
- Subjects
Adult ,Male ,medicine.medical_specialty ,Exploratory laparotomy ,medicine.medical_treatment ,Blood Loss, Surgical ,030232 urology & nephrology ,Renal function ,030230 surgery ,Kidney ,Single Center ,Nephrectomy ,03 medical and health sciences ,0302 clinical medicine ,Living Donors ,medicine ,Hand-Assisted Laparoscopy ,Humans ,Kidney surgery ,Laparoscopy ,Kidney transplantation ,Retrospective Studies ,Original Paper ,Transplantation ,medicine.diagnostic_test ,business.industry ,Retrospective cohort study ,General Medicine ,Length of Stay ,Middle Aged ,medicine.disease ,Kidney Transplantation ,Surgery ,Female ,business - Abstract
BACKGROUND Laparoscopic donor nephrectomy (LDN) has evolved and has been established as a surgical standard of care for kidney transplantation. MATERIAL AND METHODS This study retrospectively reviews 1132 patients who underwent 4 different laparoscopic living-donor nephrectomies: hand-assisted laparoscopic nephrectomy (HALDN), pure laparoscopic donor nephrectomy (PLDN), laparoendoscopic single-site plus 1-port donor nephrectomy (LESSOP-DN), and mini laparoscopic donor nephrectomy (MLDN). RESULTS The mean estimated blood loss (EBL) for the HALDN group was meaningfully higher than those of LESSOP-DN and MLDN (57.5±52.2 mL versus 21.0±30.0 mL versus 18.2±28.7 mL) (P
- Published
- 2020