AI Article Synopsis
- Laparoscopic nephrectomy (LDN) for adult kidney donors was studied in comparison to open donor nephrectomy (ODN) in a trial involving 40 donors for pediatric recipients under 15 years old.
- Both surgical methods had successful outcomes, with no conversions to open surgery and no reoperations needed.
- The study found similar graft survival rates for LDN (302.7 days) and ODN (310.8 days), leading to the recommendation of LDN as a viable option for experienced centers.
Article Abstract
Background And Purpose: Laparoscopic surgery is widely accepted for nephrectomy in adult renal transplantation. The success of this technique has not been compared with open donor nephrectomy (ODN) in children.
Patients And Methods: In this randomized clinical trial, 40 adult kidney donors were randomly divided into two groups: 20 cases of laparoscopic donor nephrectomy (LDN) and 20 of ODN. Recipients had an age of <15 years. Our exclusion criteria were previous renal transplantation, hemolytic uremic syndrome, focal segmental glomerulosclerosis, oxalosis in the recipients, and multiple renal arteries bilaterally in donors.
Results: All donor nephrectomies were completed as scheduled, and no patients undergoing LDN required conversion to open nephrectomy. No patients in either the ODN or the LDN group required reoperation. Acute rejection was diagnosed in six patients receiving kidneys procured by ODN (30%) and 4 patients (20%) receiving kidneys obtained by LDN (P = 0.3). No recipients or donors died. At 1 year, the graft survival times in the ODN and LDN groups were 310.8 +/- 28.8 and 302.7 +/- 28.2 days, respectively (P = 0.8).
Conclusion: At our medical center, pediatric LDN recipients had graft outcomes similar to those of ODN recipients. We recommend LDN for harvest of kidneys for pediatric recipients at experienced centers.
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| http://dx.doi.org/10.1089/end.2006.0208 | DOI Listing |
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