Minimal incision living donor nephrectomy compared to the hand-assisted laparoscopic living donor nephrectomy.
BACKGROUND
There has been a surge of minimally invasive procedures for living donor nephrectomy. We compared our minimal incision living donor (MILD) nephrectomy to hand-assisted laparoscopic (HAL) living donor nephrectomy


METHODS
We conducted a Medline search and compared our first 45 MILD nephrectomies to the data from the University of Michigan (UM), Tulane University (TU), and the University of Chicago (UC).


RESULTS
The MILD incision was smaller than the cumulative incisions in the UM and UC groups (8.6, 11 and 10.4 cm, respectively). The operating times were similar in the UM and UC groups (209, 246, and 215 min, respectively). The UM and TU lengths of hospital stay (1.8 and 2.2 days) were shorter than those of the MILD and UC groups (2.5 and 2.8 days).


CONCLUSIONS
MILD nephrectomy has results similar to those of HAL living donor nephrectomy. It allows the surgeon with a traditionally trained background to perform a safe, minimally invasive operation without laparoscopic technology.
Greenstein
Marc A
MA
Department of Urology, Albert Einstein Medical Center, 5401 Old York Road, Philadelphia, PA 19141, USA. docmarcg@comcast.net
Harkaway
Richard
R
Badosa
Francisco
F
Ginsberg
Phillip
P
Yang
Shuin-Lin
SL
D000328:Adult; D005260:Female; D006225:Hand; D006801:Humans; D007431:Intraoperative Complications; D007674:Kidney Diseases / Q000601:surgery*; D016030:Kidney Transplantation / Q000009:adverse effects*; D010535:Laparoscopy / Q000009:adverse effects*; D007902:Length of Stay; D019520:Living Donors; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects*; D009392:Nephrectomy / Q000009:adverse effects*; D011183:Postoperative Complications; D012189:Retrospective Studies; D013997:Time Factors