PMID- 18304213
OWN - NLM
STAT- MEDLINE
DCOM- 20080623
LR  - 20080228
IS  - 1442-2042 (Electronic)
IS  - 0919-8172 (Linking)
VI  - 15
IP  - 3
DP  - 2008 Mar
TI  - Comparison of hand-assisted laparoscopic and open donor nephrectomy in living 
      donors.
PG  - 206-9
LID - 10.1111/j.1442-2042.2007.01982.x [doi]
AB  - OBJECTIVES: Although the advent of (hand-assisted) laparoscopic donor nephrectomy 
      has had a positive effect on the donor pool, there is still some concern about 
      the increased morbidity and safety of the laparoscopic donor nephrectomy. The aim 
      of this study was to compare the results of hand-assisted laparoscopic donor 
      nephrectomy (HALD) with open donor nephrectomy (ODN). METHODS: A single-center 
      non-randomized analysis of 202 living donor kidney transplantations (44 ODN, 158 
      HALD) between January 1995 and April 2006 was conducted. RESULTS: The left kidney 
      was harvested in 75% in the ODN group and 53% in the HALD group (P = 0.009). 
      There was no conversion in the HALD group. Mean donor operative time for HALD 
      (174 min) was longer than for ODN (124 min, P < 0.001). The mean donor hospital 
      stay (4.9 days vs 9.6 days, P < 0.001) was significantly less for HALD. HALD had 
      lower mean creatinine values at day 7 and 1 month (P = 0.001 and P = 0.002) and 
      lower urological complication rates (P = 0.02) compared with ODN. The 1-year 
      graft survival rates of the ODN and the HALD group were 84% and 95% (P = 0.006), 
      respectively. CONCLUSION: hand-assisted laparoscopic donor nephrectomy is a safe 
      procedure for a donor nephrectomy with potential benefits compared with ODN.
FAU - Minnee, Robert C
AU  - Minnee RC
AD  - Department of Vascular and Transplant Surgery, Academic Medical Center, 
      Amsterdam, The Netherlands.
FAU - Bemelman, Frederike
AU  - Bemelman F
FAU - Kox, Cees
AU  - Kox C
FAU - Surachno, Susanto
AU  - Surachno S
FAU - Ten Berge, Ineke J M
AU  - Ten Berge IJ
FAU - Bemelman, Willem A
AU  - Bemelman WA
FAU - Idu, Mirza M
AU  - Idu MM
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - Australia
TA  - Int J Urol
JT  - International journal of urology : official journal of the Japanese Urological 
      Association
JID - 9440237
SB  - IM
MH  - Adult
MH  - Female
MH  - Humans
MH  - *Laparoscopy
MH  - Living Donors
MH  - Male
MH  - Middle Aged
MH  - Nephrectomy/*methods
MH  - Prospective Studies
EDAT- 2008/02/29 09:00
MHDA- 2008/06/24 09:00
CRDT- 2008/02/29 09:00
PHST- 2008/02/29 09:00 [pubmed]
PHST- 2008/06/24 09:00 [medline]
PHST- 2008/02/29 09:00 [entrez]
AID - IJU1982 [pii]
AID - 10.1111/j.1442-2042.2007.01982.x [doi]
PST - ppublish
SO  - Int J Urol. 2008 Mar;15(3):206-9. doi: 10.1111/j.1442-2042.2007.01982.x.