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Laparoscopic Donor Nephrectomy with Terminal Hand Assisted Technique: Experience in 60 Donors and Recipients

Received: 11 January 2022     Accepted: 3 February 2022     Published: 16 February 2022
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Abstract

Introduction: The limitation of cadaveric organ donations and the rapidly increasing number of patients with end stage renal disease awaiting kidney transplantation made living kidney donation indispensable. An important contribution to the revolution in living nephrectomy technique is hand assisted donor nephrectomy. Herein, we report our experience in hand assisted donor nephrectomy technique and its effect on the graft outcome. Methods: During the period from January 2012 till December 2015, 60 cases of hand-assisted laparoscopic donor nephrectomies were performed including 35 females and 25 males with a median age of 46.3±11.6 years. Results: Our mean operative donors' time was 93±21.8 minutes, and mean warm ischemia time was 48±9.1 seconds. Donor hospitalization time was between 3 and 5 days (mean 4 days). Follow up of the graft function after one year revealed mean serum creatinine of 1.56±1.03 mg/dl, mean GFR of 39.8±10.9 ml/min/1.73m and renal Doppler resistive index of 0.62±0.15. Conclusion: Laparoscopic donor nephrectomy with terminal hand assisted technique is a minimally invasive surgery that may improve donor acceptance and can become the procedure of choice in the near future. Also this technique has a good outcome concerning both warm ischemia time and graft outcome.

Published in International Journal of Clinical Urology (Volume 6, Issue 1)
DOI 10.11648/j.ijcu.20220601.16
Page(s) 23-26
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Renal Transplantation, Nephrectomy, Donor, Donor Nephrectomy, Laparoscopy, Hand Assisted

References
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[5] Bemelman WA, van Doorn RC, de Wit LT, Kox C, Surachno J, Busch OR, et al. Hand-assisted laparoscopic donor nephrectomy. Ascending the learning curve. Surg Endosc 2001; 15 (5): 442-4.
[6] Giessing M, Deger S, Ebeling V, Schönberger B, Roigas J, Kroencke TJ, et al. [Laparoscopic living donor nephrectomy of kidneys with multiple renal vessels]. Urologe A 2003; 42 (2): 225-32.
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[8] Villeda-Sandoval CI, Rodríguez-Covarrubias F, Cortés-Aguilar G, Alberú-Gómez J, Vilatobá-Chapa M, Sotomayor M, et al. Hand-assisted laparoscopic versus open donor nephrectomy: a retrospective comparison of perioperative and functional results in a tertiary care center in Mexico. Transplant Proc 2013; 45 (9): 3220-4.
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[15] Buell JF, Hanaway MJ, Potter SR, Cronin DC, Yoshida A, Munda R, et al. Hand-assisted laparoscopic living-donor nephrectomy as an alternative to traditional laparoscopic living-donor nephrectomy. Am J Transplant 2002; 2 (10): 983-8.
[16] Kercher K, Dahl D, Harland R, Blute R, Gallagher K, Litwin D. Hand-assisted laparoscopic donor nephrectomy minimizes warm ischemia. Urology 2001; 58 (2): 152-6.
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Cite This Article
  • APA Style

    Ahmed Reda, Mahmoud Magdy, Rabea Ahmed Gadelkareem, Ahmed Serag Safwat, Atef Mohammed Abdellatif, et al. (2022). Laparoscopic Donor Nephrectomy with Terminal Hand Assisted Technique: Experience in 60 Donors and Recipients. International Journal of Clinical Urology, 6(1), 23-26. https://doi.org/10.11648/j.ijcu.20220601.16

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    ACS Style

    Ahmed Reda; Mahmoud Magdy; Rabea Ahmed Gadelkareem; Ahmed Serag Safwat; Atef Mohammed Abdellatif, et al. Laparoscopic Donor Nephrectomy with Terminal Hand Assisted Technique: Experience in 60 Donors and Recipients. Int. J. Clin. Urol. 2022, 6(1), 23-26. doi: 10.11648/j.ijcu.20220601.16

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    AMA Style

    Ahmed Reda, Mahmoud Magdy, Rabea Ahmed Gadelkareem, Ahmed Serag Safwat, Atef Mohammed Abdellatif, et al. Laparoscopic Donor Nephrectomy with Terminal Hand Assisted Technique: Experience in 60 Donors and Recipients. Int J Clin Urol. 2022;6(1):23-26. doi: 10.11648/j.ijcu.20220601.16

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  • @article{10.11648/j.ijcu.20220601.16,
      author = {Ahmed Reda and Mahmoud Magdy and Rabea Ahmed Gadelkareem and Ahmed Serag Safwat and Atef Mohammed Abdellatif and Hassan Aboulella and Nashwa Azoz and Paolo Fornara and Nasreldin Mohammed},
      title = {Laparoscopic Donor Nephrectomy with Terminal Hand Assisted Technique: Experience in 60 Donors and Recipients},
      journal = {International Journal of Clinical Urology},
      volume = {6},
      number = {1},
      pages = {23-26},
      doi = {10.11648/j.ijcu.20220601.16},
      url = {https://doi.org/10.11648/j.ijcu.20220601.16},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcu.20220601.16},
      abstract = {Introduction: The limitation of cadaveric organ donations and the rapidly increasing number of patients with end stage renal disease awaiting kidney transplantation made living kidney donation indispensable. An important contribution to the revolution in living nephrectomy technique is hand assisted donor nephrectomy. Herein, we report our experience in hand assisted donor nephrectomy technique and its effect on the graft outcome. Methods: During the period from January 2012 till December 2015, 60 cases of hand-assisted laparoscopic donor nephrectomies were performed including 35 females and 25 males with a median age of 46.3±11.6 years. Results: Our mean operative donors' time was 93±21.8 minutes, and mean warm ischemia time was 48±9.1 seconds. Donor hospitalization time was between 3 and 5 days (mean 4 days). Follow up of the graft function after one year revealed mean serum creatinine of 1.56±1.03 mg/dl, mean GFR of 39.8±10.9 ml/min/1.73m and renal Doppler resistive index of 0.62±0.15. Conclusion: Laparoscopic donor nephrectomy with terminal hand assisted technique is a minimally invasive surgery that may improve donor acceptance and can become the procedure of choice in the near future. Also this technique has a good outcome concerning both warm ischemia time and graft outcome.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - Laparoscopic Donor Nephrectomy with Terminal Hand Assisted Technique: Experience in 60 Donors and Recipients
    AU  - Ahmed Reda
    AU  - Mahmoud Magdy
    AU  - Rabea Ahmed Gadelkareem
    AU  - Ahmed Serag Safwat
    AU  - Atef Mohammed Abdellatif
    AU  - Hassan Aboulella
    AU  - Nashwa Azoz
    AU  - Paolo Fornara
    AU  - Nasreldin Mohammed
    Y1  - 2022/02/16
    PY  - 2022
    N1  - https://doi.org/10.11648/j.ijcu.20220601.16
    DO  - 10.11648/j.ijcu.20220601.16
    T2  - International Journal of Clinical Urology
    JF  - International Journal of Clinical Urology
    JO  - International Journal of Clinical Urology
    SP  - 23
    EP  - 26
    PB  - Science Publishing Group
    SN  - 2640-1355
    UR  - https://doi.org/10.11648/j.ijcu.20220601.16
    AB  - Introduction: The limitation of cadaveric organ donations and the rapidly increasing number of patients with end stage renal disease awaiting kidney transplantation made living kidney donation indispensable. An important contribution to the revolution in living nephrectomy technique is hand assisted donor nephrectomy. Herein, we report our experience in hand assisted donor nephrectomy technique and its effect on the graft outcome. Methods: During the period from January 2012 till December 2015, 60 cases of hand-assisted laparoscopic donor nephrectomies were performed including 35 females and 25 males with a median age of 46.3±11.6 years. Results: Our mean operative donors' time was 93±21.8 minutes, and mean warm ischemia time was 48±9.1 seconds. Donor hospitalization time was between 3 and 5 days (mean 4 days). Follow up of the graft function after one year revealed mean serum creatinine of 1.56±1.03 mg/dl, mean GFR of 39.8±10.9 ml/min/1.73m and renal Doppler resistive index of 0.62±0.15. Conclusion: Laparoscopic donor nephrectomy with terminal hand assisted technique is a minimally invasive surgery that may improve donor acceptance and can become the procedure of choice in the near future. Also this technique has a good outcome concerning both warm ischemia time and graft outcome.
    VL  - 6
    IS  - 1
    ER  - 

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Author Information
  • Urology Department, Assiut University, Assiut, Egypt

  • Urology Department, Assiut University, Assiut, Egypt

  • Urology Department, Assiut University, Assiut, Egypt

  • Urology Department, Assiut University, Assiut, Egypt

  • Urology Department, Assiut University, Assiut, Egypt

  • Urology Department, Assiut University, Assiut, Egypt

  • Internal Medicine Department (Nephrology Unit), Assiut University, Assiut, Egypt

  • Urology and Renal Transplantation Department, Martin Luther University, Halle (Saale), Germany

  • Urology Department, Assiut University, Assiut, Egypt

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