Result of Living Donor Laparoscopic Nephrectomy in Vajira Hospital

Main Article Content

Thitawat Wongampornpat
Bhapapak Na-songkla

Abstract

Background: Laparoscopic living donor nephrectomy was performed in 2010 substituted open living donor nephrectomy in Vajira hospital. This study aims to present result of surgery.


Method: A retrospective descriptive study was conducted. Eighty eight donors were performed laparoscopic living donor nephrectomy and 88 kidneys were transplanted to recipients between 2010 to 2020. Donor demographic data, number of renal vessels, operative time, warm ischemic time, operative blood loss, length of hospital stay, complication, serum creatinine after nephrectomy, serum creatinine of recipients and delay graft function were retrospectively review from medical record.


Result: Mean operative time was 219±38 minutes, mean warm ischemic time was 192.2±39.8 seconds. Mean intraoperative blood loss was 66±56 milliliter, mean hospital stay length was 5.4±2.4 days. Complication rate of donor was 3.4%. There was no vascular or ureteral complication to recipients in this study.


Conclusion: Laparoscopic living donor nephrectomy in Vajira hospital is safe and feasibility. Result of kidney function of the recipients at one year of follow up stilled good.

Downloads

Download data is not yet available.

Article Details

Section
Original Articles

References

Krittayaphong R, Rangsin R, Thinkhamrop B, Hurst C, Rattanamongkolgul S, Sripaiboonkij N, et al . Prevalence of chronic kidney disease associated with cardiac and vascular complications in hypertensive patients: a multicenter, nation-wide study in Thailand. BMC Nephrol 2017;18:115. doi: 10.1186/s12882-017-0528-3.

Laupacis A, Keown P, Pus N, Krueger H, Ferguson B, Wong C, et al. A study of the quality of life and cost-utility of renal transplantation. Kidney Int 1996;50:235-42.

Wolfe RA, Ashby VB, Milford EL, Ojo AO, Ettenger RE, Agodoa LY, et al. Comparison of mortality in all patients on dialysis, patients on dialysis awaiting transplantation, and recipients of a first cadaveric transplant. N Engl J Med 1999;341(23):1725-30.

Ratner LE, Ciseck LJ, Moore RG, Cigarroa FG, Kaufman HS, Kavoussi LR. Laparoscopic live donor nephrectomy. Transplantation 1995;60:1047-9.

Flowers JL, Jacobs S, Cho E, Morton A, Rosenberger WF, Evans D, et al. Comparison of open and laparoscopic live donor nephrectomy. Ann Surg 1997;226(4):483-9.

Ratner LE, Kavoussi LR, Sroka M, Hiller J, Weber R, Schulam PG, et al. Laparoscopic assisted live donor nephrectomy--a comparison with the open approach. Transplantation 1997;63(2):229-33.

Schweitzer EJ, Wilson J, Jacobs S, Machan CH, Philosophe B, Farney A, et al. Increased rates of donation with laparoscopic donor nephrectomy. Ann Surg 2000;232(3):392-400.

Halazun KJ, Al-Mukhtar A, Aldouri A, Willis S, Ahmad N. Warm ischemia in transplantation: search for a consensus definition. Transplant Proc 2007;39(5):1329-31.

Siedlecki A, Irish W, Brennan DC. Delayed graft function in the kidney transplant. Am J Transplant 2011;11(11):2279-96.

Yuan H, Liu L, Zheng S, Yang L, Pu C, Wei Q, Han P. The safety and efficacy of laparoscopic donor nephrectomy for renal transplantation: an updated meta-analysis. Transplant Proc 2013; 45:65-76.

Tisdale BE, Kapoor A, Hussain A, Piercey K, Whelan JP. Intact specimen extraction in laparoscopic nephrectomy procedures: Pfannenstiel versus expanded port site incisions. Urology 2007;69(2):241-4.

Adiyat KT, Tharun BK, Shetty A, Samavedi S. Comparison of three different techniques of extraction in laparoscopic donor nephrectomy. Indian J Urol 2013;29(3):184-7.

Kortram K, Ijzermans JN, Dor FJ. Perioperative Events and Complications in Minimally Invasive Live Donor Nephrectomy: A Systematic Review and Meta-Analysis. Transplantation 2016;100(11):2264-75.

Tooher RL, Rao MM, Scott DF, Wall DR, Francis DM, Bridgewater FH, et al. A systematic review of laparoscopic live-donor nephrectomy. Transplantation 2004;78(3):404-14.