[Laparoscopic donor nephrectomy for kidney transplants from living family members: good preliminary results].
OBJECTIVE
Evaluation of safety and technical feasibility of laparoscopic live donor nephrectomy.


METHODS
Descriptive.


METHODS
The per- and postoperative results were analysed of 15 patients subjected to laparoscopic live donor nephrectomy in the Erasmus Medical Centre Rotterdam, Dept. of General Surgery, the Netherlands. Both left and right nephrectomy were performed via the transperitoneal route. The kidney was removed via a subumbilical incision.


RESULTS
Laparoscopic donor nephrectomy was attempted in 15 patients and completed successfully in 14. Conversion to flank incision was resorted to one patient because of a venous bleeding. Median operating time was 290 min (SD: 57). Mean warm ischaemia time was 7 min (range: 4-17), including laparoscopic harvest. All kidneys were functioning well after transplantation. The mean duration of postoperative hospitalization of the donors was 4 days.


CONCLUSIONS
Laparoscopic live donor nephrectomy is a safe and technically feasible procedure in a kidney transplant programme involving a living relative.
Ijzermans
J N
JN
Afd. Algemene Heelkunde, Academisch Ziekenhuis Rotterdam-Dijkzigt. Rotterdam. ijzermans@hlkd.azr.nl
Berends
F J
FJ
van Riemsdijk
I C
IC
Weimar
W
W
Bonjer
H J
HJ
D000328:Adult; D005190:Family; D005260:Female; D006801:Humans; D016030:Kidney Transplantation; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay; D019520:Living Donors / Q000600:supply & distribution*; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000379:methods*; D009426:Netherlands; D013997:Time Factors
Laparoscopische donornefrectomie bij familieniertransplantaties; gunstige eerste ervaringen.