title: Laparoscopic kidney transplantation: an initial experience.
abstract: Laparoscopic donor nephrectomy has the advantages of less pain, early ambulation and shorter hospitalization compared to open donor nephrectomy. Kidney recipient surgery is, however, traditionally performed by open surgery. Our aim was to study feasibility and safety of laparoscopic kidney transplantation (LKT). After permission from Internal Review Board, LKT was performed in four patients. All kidneys were procured from deceased donors. Left kidney was used for LKT and transplanted in left iliac fossa while right kidney was used for standard open kidney transplantation (OKT). All transplantation procedures were performed successfully. Cold ischemia time varied between 4 h and 14 h. For LKT, mean time for anastomosis was 65 (range 62-72) min, mean operative time was 3.97 (range 3.5-5) h, mean blood loss was 131.25 mL (range 45-350) mL. Mean wound length was 7 cm in LKT group and 18.4 cm in OKT group. Delayed graft function was observed in one patient in each group. One patient was lost in OKT group due to posttransplant bacterial meningitis. At 6 months, both groups have comparable value of serum creatinine. In conclusion, LKT is technically feasible and safe. Long term outcome needs to be evaluated in a larger study.
authors.affiliation: Department of Urology and Transplantation Surgery, Smt. G R Doshi and Smt. K M Mehta Institute of Kidney Diseases and Research Centre and Dr H L Trivedi Institute of Transplantation Sciences, Ahmedabad, Gujarat, India. dr_pranjal@yahoo.com
authors.forename: P
authors.initials: P
authors.lastname: Modi
authors.forename: J
authors.initials: J
authors.lastname: Rizvi
authors.forename: B
authors.initials: B
authors.lastname: Pal
authors.forename: R
authors.initials: R
authors.lastname: Bharadwaj
authors.forename: P
authors.initials: P
authors.lastname: Trivedi
authors.forename: A
authors.initials: A
authors.lastname: Trivedi
authors.forename: K
authors.initials: K
authors.lastname: Patel
authors.forename: K
authors.initials: K
authors.lastname: Shah
authors.forename: J
authors.initials: J
authors.lastname: Vyas
authors.forename: S
authors.initials: S
authors.lastname: Sharma
authors.forename: K
authors.initials: K
authors.lastname: Shah
authors.forename: R
authors.initials: R
authors.lastname: Chauhan
authors.forename: H
authors.initials: H
authors.lastname: Trivedi
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D016030:Kidney Transplantation / Q000379:methods*; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged