Laparoscopic live‐donor nephrectomy: modifications for developing nations

• DOI: 10.1111/j.1464-410x.2004.04823.x
• Publication Date: 2004-05-27T15:43:45Z
• Authors: A. Kumar; H. Chaudhary; A. Srivastava; M. Raghavendran
• Keywords: Renal hilum

Authors from Lucknow describe their experience with laparoscopic live‐donor nephrectomy, and modifications they have used to make the procedure cost‐effective for developing nations. As urological world is increasingly realising, this approach renal transplantation increasing number of kidneys being offered many patients end‐stage failure. In considerable series, authors are strongly opinion that best live donor helpful in its use OBJECTIVE To nephrectomy (LLDN) it more countries; LLDN was developed as a better alternative conventional advantages an earlier return normal activities smaller scars, but not popular countries because high cost disposable items. PATIENTS AND METHODS From January 2000 2002, 148 LLDNs were performed, which two hand‐assisted technique, 17 standard 79 modified laparoscopically assisted cost‐saving 50 by technique. latter kidney delivered through 6–8 cm anterior subcostal flank incision. last we further clipping hilum using endoclips delivering holding lateral pararenal fat 5 iliac fossa RESULTS The mean age, operative duration, warm ischaemia time, blood loss, analgesic requirements, pain score hospital stay comparable among various techniques used. Re‐exploration required four (bleeding two, trocar‐induced bowel injury two). Immediate complications after surgery occurred 20% patients. Using endoclips, considerably reduced, $400 $290. incision aesthetically pleasing acceptable CONCLUSION These relevant context nation, provide all benefits at reduced cosmetic results.