Comparison between laparoscopic and subcostal mini-incision for live donor nephrectomy

• Autor(a) principal: Kanashiro,Hideki
• Data de Publicação: 2010
• Outros Autores: Lopes,Roberto Iglesias, Saito,Fernando Akira, Mitre,Anuar Ibrahim, Denes,Francisco Tibor, Chambô,José Luis, Falci Jr,Renato, Piovesan,Affonso Celso, David Neto,Elias, Nahas,William Carlos
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Einstein (São Paulo)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082010000400456
• topic: Kidney; Nephrectomy; Laparoscopy; Kidney transplantation; Tissue donors

ABSTRACT Objectives: The aim of this study was to compare the results of laparoscopic donor nephrectomy with open donor nephrectomy. Methods: A non-randomized prospective analysis was conducted of living donor kidney transplantations (118 open donor nephrectomies; 57 laparoscopic donor nephrectomies) between January 2005 and December 2007 in the Kidney Transplantation Unit of Hospital das Clínicas of Faculdade de Medicina of the Universidade de São Paulo. Results: Mean donor operative time, mean donor hospital stay, mean postoperative creatinine values, and rates of complications and graft survival were similar for both groups. A significant statistical difference in warm ischemia time was observed between the open donor nephrectomy and laparoscopic donor nephrectomy groups (p < 0.001). There was only one conversion in the laparoscopic donor nephrectomy group. Conclusions: Laparoscopic donor nephrectomy is a safe procedure for a donor nephrectomy, comparable to an open procedure with similar results despite a longer warm ischemia time.