Comparison of the right and left laparoscopic live donor nephrectomies: a clinical case load

Gures N., GÜRLÜLER E., Berber I., Karayagiz A. H., Kemik O., Sumer A., ...More

EUROPEAN REVIEW FOR MEDICAL AND PHARMACOLOGICAL SCIENCES, vol.17, no.10, pp.1389-1394, 2013 (SCI-Expanded, Scopus) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 17 Issue: 10
  • Publication Date: 2013
  • Journal Name: EUROPEAN REVIEW FOR MEDICAL AND PHARMACOLOGICAL SCIENCES
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.1389-1394
  • Keywords: Donor nephrectomy, Laparoscopy, TRANSPLANTATION, BARRIERS
  • Bursa Uludag University Affiliated: No

Abstract

BACKGROUND: The aim of the present study was to retrospectively compare the results of right- and left-laparoscopic donor nephrectomy (LDN) performed in our Center. PATIENTS AND METHODS: Two hundred and eight patients who were operated on between October 2010 and October 2011 were included. Of the patients, 65 underwent right-LDN and 143 underwent left-LDN. The groups were compared in terms of duration of surgery, warm ischemia time, postoperative complications, length of hospital stay, and donor outcomes. RESULTS: The mean duration of surgery was 144 +/- 19.7 min and 147.8 +/- 20.2 min in the right-and left-LDN groups, respectively. The mean warm ischemia times were 139.1 +/- 54.1 s and 141.5 +/- 37.9 in the right-and left-LDN groups, respectively. The mean length of hospital stay was 2.4 +/- 1.0 days for both groups. No major complications were observed in the groups. There was no significant difference between the groups in terms of donor outcomes. CONCLUSIONS: The right-LDN is approached cautiously because of short length of vein and the risk for thrombosis. The results of the present study demonstrated that the right-LDN is as safe and effective as the left-LDN.