@article {236,
	title = {Right donor nephrectomy: a comparison of hand-assisted transperitoneal and retroperitoneal laparoscopic approaches},
	journal = {Transplantation},
	volume = {77},
	year = {2004},
	note = {0041-1337 (Print) Clinical Trial Controlled Clinical Trial Journal Article},
	month = {46419},
	pages = {521 - 5},
	abstract = {BACKGROUND: We compare the anatomic and functional outcomes of right live-donor nephrectomy (LDN) using either a hand-assisted approach (HALDN) or a pure retroperitoneoscopic approach (RLDN) in two institutions. PATIENTS AND METHODS: Data were recorded prospectively in 59 patients undergoing right LDN using either hand-assisted (n=31) or pure retroperitoneoscopic (n=28) approaches. All HALDN cases were performed at the University of Cincinnati, and all RLDN cases were performed at the Cleveland Clinic Foundation. RESULTS: Demographics were similar with respect to age (41.1+/-11.5 vs. 44.5+/-8.5 years) and human leukocyte antigen mismatches (2.7+/-1.8 vs. 2.6+/-1.6). Operative times were longer for HALDN (3.4+/-0.7 vs. 3.0+/-0.7 hours, P <0.04), whereas warm ischemia time was shorter (3:55+/-1:47 vs. 4:55+/-0:55 minutes, P <0.001). Length of renal vein and artery were equivalent (2.4/3.4 vs. 2.3/3.2 cm, P =0.5). Complication rates were similar (10\% vs. 7\%, P =0.5), including conversion to open surgery (n=1), accessory upper pole artery transection (n=1), and swollen testicle (n=1) in the HALDN group, and a small parenchymal injury (n=1) and a capsular tear (n=1) in the RLDN group. Donor length of stay and convalescence were similar in both groups (43.5+/-14.1 vs. 45.7+/-25.3 hours, P =0.1; convalescence 23.5+/-5.3 vs. 20.2+/-4.1 days, P =0.5). One-week, 1-month, and 1-year serum creatinine levels were equivalent with both approaches. No grafts were lost in either group. CONCLUSIONS: This study confirms that the HALDN and RLDN techniques can provide kidney grafts with equivalent-length vessels and excellent function.},
	keywords = {*Living Donors, Adult, Female, Humans, Kidney / physiopathology, Kidney Transplantation, Laparoscopy / adverse effects / *methods, Male, Middle Aged, Nephrectomy / adverse effects / *methods, Postoperative Period, Retroperitoneal Space / surgery, Time Factors, Tissue and Organ Harvesting / adverse effects / *methods},
	author = {Buell,J. F. and Abreu,S. C. and Hanaway,M. J. and Ng,C. S. and Kaouk,J. H. and Clippard,M. and Zaki,S. and Goldfarb,D. A. and Woodle,E. S. and Gill,I. S.}
}
