Hand-assisted laparoscopic and laparoscopic donor nephrectomy: A comparison of surgical outcomes from two centres

Özet

Objective: The aim of the study was to compare the different surgical approaches of two centers on outcomesof live donor laparoscopic nephrectomy.Material and methods: The first 98 patients of each centre who underwent laparoscopic donor nephrectomy(LDN) or hand-assisted laparoscopic donor nephrectomy (HALDN) were included in the study. Thefollowing data were used for analyses: donor age, weight, height, body mass index (BMI), transfusion requirement,operative time, ischemia time and postoperative complications.Results: Median age, BMI, operation time and estimated blood loss (EBL) was 47.29 years, 27.91 kg/m2,110.73 minutes, and 78.95 mL, respectively. Operation time was significantly shorter in the HALDN group(t=-3.554, p 0.05). No statistically significant difference was detected in the intraoperative andpostoperative complication rates between two groups (p>0.05). The postoperative complication rate was7.14% (n=7) and 6.12% (n=6) in the LDN and HALDN groups, respectively. There were two patients withconversion to open surgery in the HALDN group because of lumbar vein injury.Conclusion: The operative and postoperative outcomes for the two techniques were found to be similar. TheHALDN technique preserves the benefits of minimally invasive surgery. In experienced urologic laparoscopycentres both techniques promise similar success rates