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J Urol. 1996 Jun;155(6):1857-9.

Laparoscopic live donor nephrectomy: the initial 3 cases.

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  • 1Department of Urology, Johns Hopkins Bayview Medical Center, Baltimore, Maryland, USA.

Abstract

PURPOSE:

Successful laparoscopic live donor nephrectomy in 3 patients is described.

MATERIALS AND METHODS:

The procedures were performed completely laparoscopically and the kidneys were extracted via 8 cm. infraumbilical incisions.

RESULTS:

In all 3 cases warm ischemic time was less than 5 minutes, and the renal vessels and ureter of the harvested kidneys were of adequate length for routine transplantation. Donors required minimal postoperative parenteral analgesia and were discharged home 1 to 3 days after the procedure. All harvested kidneys were successfully transplanted, and functioned well initially and at hospital discharge.

CONCLUSIONS:

Laparoscopic live donor nephrectomy may be an alternative surgical modality to conventional open nephrectomy. Advantages include less postoperative pain, shorter hospital stay and convalescence, and a more desirable cosmetic result. Additionally, these advantages may encourage more individuals to consider live donation, resulting in an increase in organ supply.

PMID:
8618273
[PubMed - indexed for MEDLINE]
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