BACKGROUND: Recent developments in laparoscopic solid organ surgery suggest a possible reduction in postoperative discomfort and disability for kidney donors. Technical aspects and the influence of surgical experience in laparoscopic donor nephrectomy were evaluated. METHODS: The clinical outcome of 57 laparoscopic donor nephrectomies (LapNx) was compared with that for a historic control group of 27 open donor nephrectomies (OpenNx). RESULTS: Three conversions to open nephrectomy (5.2%) were necessary. Postoperative complications were minor and comparable in both groups. Patients who underwent laparoscopic surgery demonstrated significantly less postoperative pain and a shorter hospital stay, but operative time and warm ischemia time were significantly longer. Graft survival after LapNx was 100% during a median follow-up period of 13 months. Operative time for LapNx decreased considerably with experience gained and seemed to be less for right nephrectomy. Stenotic ureter-bladder anastomoses occurred after LapNx in four patients during the first half year (7.0%), but this problem seemed to be resolved after modification of the technique. CONCLUSION: LapNx is associated with less postoperative discomfort and improved convalescence.
BACKGROUND: Recent developments in laparoscopic solid organ surgery suggest a possible reduction in postoperative discomfort and disability for kidney donors. Technical aspects and the influence of surgical experience in laparoscopic donor nephrectomy were evaluated. METHODS: The clinical outcome of 57 laparoscopic donor nephrectomies (LapNx) was compared with that for a historic control group of 27 open donor nephrectomies (OpenNx). RESULTS: Three conversions to open nephrectomy (5.2%) were necessary. Postoperative complications were minor and comparable in both groups. Patients who underwent laparoscopic surgery demonstrated significantly less postoperative pain and a shorter hospital stay, but operative time and warm ischemia time were significantly longer. Graft survival after LapNx was 100% during a median follow-up period of 13 months. Operative time for LapNx decreased considerably with experience gained and seemed to be less for right nephrectomy. Stenotic ureter-bladder anastomoses occurred after LapNx in four patients during the first half year (7.0%), but this problem seemed to be resolved after modification of the technique. CONCLUSION:LapNx is associated with less postoperative discomfort and improved convalescence.
Authors: K Kerbl; R V Clayman; E M McDougall; I S Gill; B S Wilson; P S Chandhoke; D M Albala; L R Kavoussi Journal: Urology Date: 1994-05 Impact factor: 2.649
Authors: Eric J Hazebroek; Ron W F de Bruin; Nicole D Bouvy; Richard L Marquet; Fred Bonthuis; Ingeborg M Bajema; Don P Hayes; Jan N M Ijzermans; H Jaap Bonjer Journal: Ann Surg Date: 2003-03 Impact factor: 12.969
Authors: Niels F M Kok; May Y Lind; Birgitta M E Hansson; Desiree Pilzecker; Ingrid R A M Mertens zur Borg; Ben C Knipscheer; Eric J Hazebroek; Ine M Dooper; Willem Weimar; Wim C J Hop; Eddy M M Adang; Gert Jan van der Wilt; Hendrik J Bonjer; Jordanus A van der Vliet; Jan N M IJzermans Journal: BMJ Date: 2006-07-17
Authors: Eric J Hazebroek; Diederik Gommers; Michiel A Schreve; Teun van Gelder; Joke I Roodnat; Willem Weimar; H Jaap Bonjer; Jan N M IJzermans Journal: Ann Surg Date: 2002-07 Impact factor: 12.969