Elsevier

Transplantation Proceedings

Volume 33, Issues 1–2, February–March 2001, Pages 1108-1110
Transplantation Proceedings

Improved recipient results after 5 years of performing laparoscopic donor nephrectomy

https://doi.org/10.1016/S0041-1345(00)02436-2Get rights and content

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Methods

A retrospective review of all living donor operations performed at the Johns Hopkins Medical Institutions between January 1995 and July 1999 was conducted. All pediatric and adult recipients from related and unrelated donors were included in the study. During the study period, a total of 248 living donor transplants were performed. Two hundred of these operations were carried out using the LapNx techniques, and 48 individuals had the standard OpenNx via a flank incision.

Statistical analysis of

Ischemic time and renal anatomy

The warm ischemic times for kidneys procured by the LapNx procedures were within an acceptable range (Table 1). There was no significant difference in the serum creatinine on postoperative day 4 between the LapNx and OpenNx groups (data not shown). The mean lengths of the renal vein, artery, and ureter were 4.6 ± 1.2, 3.4 ± 0.9, and 11.6 ± 2.4, respectively. Vascular and ureteral lengths of the donor kidneys were adequate in all cases to perform the recipient operation using standard

Discussion

Numerous strategies have been employed to increase cadaveric organ donation with only modest success. There continues to be a widening disparity between kidneys available for transplantation and patients on the waiting list. Longer waiting times have translated into an increase in mortality among individuals awaiting renal transplantation. Kidneys procured from living donors offer a number of advantages when compared to cadaveric donor sources. Among these advantages are the ability to perform

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