[Experience initial right side laparoscopic live donor].
Live donor nephrectomy laparoscopic technique is now standard. However, the right side is controversial because of the short length of the renal vein and the incidence of venous thrombosis.


METHODS
A prospective study of patients live donors since May 2006 to September 2008 in which right nephrectomy was performed by laparoscopic live donor. The placement of trocares was usual and the transperitoneal approach. Incision was used for the extraction of Gibson.


RESULTS
Of the 10 selected patients, 1 was excluded due to conversion to open technique. The criteria for lateralization were sex, renal volume and complex vascular anatomy. 6 patients had made back-table reconstruction surgery with prosthetic vascular due to the length of the renal vein. The average operative time was 158.3 minutes and the bleeding averaged 272 cc. Warm ischemia time averaged 3.2 minutes. The average hospital stay was 1.6 days. 1 recipient presenting delayed graft dysfunction.


CONCLUSIONS
Laparoscopic live donor right nephrectomy offers an excellent quality of graft, being a technique feasible and safe, maintaining the principle of leaving the best kidney donor.
de Andrade Andrade
Robert J
RJ
Unidad de Trasplante, Hospital Militar Dr Carlos Arvelo, Caracas, Venezuela. rdeandrade@cantv.net
Arana Castro
David S
DS
Arana García
David E
DE
Córdova Melo
Juan C
JC
D000328:Adult; D005260:Female; D006801:Humans; D010535:Laparoscopy; D019520:Living Donors; D009392:Nephrectomy / Q000379:methods*; D011446:Prospective Studies; D055815:Young Adult