Right donor nephrectomy: a comparison of hand-assisted transperitoneal and retroperitoneal laparoscopic approaches

TitleRight donor nephrectomy: a comparison of hand-assisted transperitoneal and retroperitoneal laparoscopic approaches
Publication TypeJournal Article
Year of Publication2004
AuthorsBuell JF, Abreu SC, Hanaway MJ, Ng CS, Kaouk JH, Clippard M, Zaki S, Goldfarb DA, Woodle ES, Gill IS
JournalTransplantation
Volume77
Issue4
Pagination521 - 5
Date Published46419
Accession Number15084928
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
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

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