title: Laparoscopic right nephrectomy for live kidney donation: functional results.
abstract: Laparoscopic live-donor nephrectomy has gained wide acceptance. However, the vast majority of surgeons perform left nephrectomies only, which may not always be in the best interest of the donor. Of 17 consecutive laparoscopic donor nephrectomies, 13 were done on the right side. The function of these grafts was compared with that of 17 kidneys previously procured by an open technique and with that of the four left laparoscopic grafts. Ischaemic damage was evaluated by post-operative nuclear scanning and urinary lysozyme, and graft function by creatinine and creatinine clearance. Results show that operating time was longer in the laparoscopic donors, but identical in right and left laparoscopic procurements. Ischaemic damage and function were similar, regardless of the side or the surgical technique. We can conclude that right laparoscopic donor nephrectomy is feasible and results in good graft function. Systematic harvesting from the left side may, therefore, not be justified.
authors.affiliation: Department of Surgery, CHUS, Sherbrooke, Quebec, Canada J1H 5N4. vincent.bettschart@usherbrooke.ca
authors.forename: Vincent
authors.initials: V
authors.lastname: Bettschart
authors.forename: Ariane
authors.initials: A
authors.lastname: Boubaker
authors.forename: Olivier
authors.initials: O
authors.lastname: Martinet
authors.forename: Dela
authors.initials: D
authors.lastname: Golshayan
authors.forename: Jean-Pierre
authors.initials: JP
authors.lastname: Wauters
authors.forename: François
authors.initials: F
authors.lastname: Mosimann
mesh_terms: D000368:Aged; D003404:Creatinine / Q000378:metabolism; D005260:Female; D006801:Humans; D007511:Ischemia / Q000473:pathology; D007668:Kidney / Q000473:pathology / Q000503:physiopathology; D016030:Kidney Transplantation; D010535:Laparoscopy; D008102:Liver Circulation; D019520:Living Donors; D008297:Male; D008875:Middle Aged; D009113:Muramidase / Q000652:urine; D009392:Nephrectomy; D013997:Time Factors; D020858:Tissue and Organ Harvesting / Q000379:methods* / Q000592:standards
chemical_list: D003404:Creatinine; D009113:Muramidase