Laparoscopic Living donor nephrectomy. Transperitoneal and Retroperitoneal Technique. Safety and efficacy
type: CreativeWork
description: Introduction: Kidney transplantation is considered the best replacement treatment for patient with end stage renal failure but the transplant community has to face the constant shortage of organs. For this reason programs have been developed to implement the transplants from living donors, that have been shown to have the best outcomes. The laparoscopic technique for kidney donation has almost completely supersede the open surgery being associated with short convalescence time and increased quality of life for the donor and equally effective results for the recipient. Within the different type of laparoscopic techniques the hand assisted one is at the moment the most utilised in UK. The retroperitoneoscopic techniques has been developed to try to minimise further more the potential complications of this type of surgery offering the intrinsic advantages of the conventional transperitoneal approach and potentially lower risk of intraperitoneal complications. Materials and Methods: At the Royal London Hospital in the period between July 2011 and July 2013 ninety-two Laparoscopic Hand Assisted Donor Nephrectomy (LHADN) have been performed of which 34 with retroperitoneal approach. Statistical Analysis: The data analysed were: Warm Ischemia Time (WIT), Length of operative time, Length of postoperative stay, Safety and incidence of complications in the donor. The aim of the study was to demonstrate the safety and efficacy of this technique and to compare the retroperitoneal approach with the transperitoneal hand assisted donor nephrectomy. Results: There were no significant differences within the two groups on the base of age and gender. In the retroperitoneal group the number of right nephrectomies was significantly higher (Side L/R (%) TP 55/3 - 94.8%/5.2% - RP 25/9 - 73.5%/26.5%). HARLDN was effectively and safely completed in 92 donors (100%). No conversion to open surgery was required, no intra or perioperative death was recorded. The skin to skin time despite numeri…
abstract: Introduction: Kidney transplantation is considered the best replacement treatment for patient with end stage renal failure but the transplant community has to face the constant shortage of organs. For this reason programs have been developed to implement the transplants from living donors, that have been shown to have the best outcomes. The laparoscopic technique for kidney donation has almost completely supersede the open surgery being associated with short convalescence time and increased quality of life for the donor and equally effective results for the recipient. Within the different type of laparoscopic techniques the hand assisted one is at the moment the most utilised in UK. The retroperitoneoscopic techniques has been developed to try to minimise further more the potential complications of this type of surgery offering the intrinsic advantages of the conventional transperitoneal approach and potentially lower risk of intraperitoneal complications. Materials and Methods: At the Royal London Hospital in the period between July 2011 and July 2013 ninety-two Laparoscopic Hand Assisted Donor Nephrectomy (LHADN) have been performed of which 34 with retroperitoneal approach. Statistical Analysis: The data analysed were: Warm Ischemia Time (WIT), Length of operative time, Length of postoperative stay, Safety and incidence of complications in the donor. The aim of the study was to demonstrate the safety and efficacy of this technique and to compare the retroperitoneal approach with the transperitoneal hand assisted donor nephrectomy. Results: There were no significant differences within the two groups on the base of age and gender. In the retroperitoneal group the number of right nephrectomies was significantly higher (Side L/R (%) TP 55/3 - 94.8%/5.2% - RP 25/9 - 73.5%/26.5%). HARLDN was effectively and safely completed in 92 donors (100%). No conversion to open surgery was required, no intra or perioperative death was recorded. The skin to skin time despite numeri…
author: GIUFFRIDA, GIUSEPPE
language: eng
keywords: Retroperitoneal, donor nephrectomy, living donor transplant
date published: 2013-12-09
date modified: 2026-07-24T01:35:08Z
provider: Università degli Studi di Catania
publisher: Networked Digital Library of Theses and Dissertations
type: WebPage
source organization: Università degli studi di Catania

PropertyValue
property ID: Handle
value: https://hdl.handle.net/20.500.11769/587989