title: Inguinal oblique incision as an alternative route to extract the kidney during laparoscopic donor nephrectomy.
abstract: OBJECTIVE
  Evaluate the advantages of inguinal oblique incision in extracting the kidney during laparoscopic donor nephrectomy.
  
  
  METHODS
  From April 2005 to June 2009, sixty-seven cases of transperitoneal laparoscopic live-donor nephrectomies were performed at our hospital, all data were analyzed retrospectively. All donors were grouped as a test group (n=37, inguinal oblique incision) and a control group (n=30, paramidline or subcostal incision) according to graft retrieval incision selection. Donors were compared with regard to operative time and warm ischemia time, operative blood loss, hospital stay and cosmetic satisfaction. Recipients were compared with regard to graft function and 1-year graft survival rate.
  
  
  RESULTS
  All 67 cases of transperitoneal live-donor nephrectomies were successfully accomplished, without donor death, serious complications, and conversion to open surgery. There were no differences in mean operation time, mean blood loss, mean warm ischemic time, graft function, and 1-year graft survival rate between the groups. But in the test group, the mean hospital stay was shorter, P < .01; and cosmetic satisfaction was higher P < .01.
  
  
  CONCLUSIONS
  The inguinal oblique incision is a safe and practical graft retrieval incision in live-donor nephrectomies, and can be thought to be applied generally.
authors.affiliation: Urology Department of Yantai Yuhuangding Hospital, Yantai 264000, China.
authors.forename: Ke
authors.initials: K
authors.lastname: Wang
authors.forename: Feng-chun
authors.initials: FC
authors.lastname: Wan
authors.forename: Zhen-li
authors.initials: ZL
authors.lastname: Gao
authors.forename: Jian-ming
authors.initials: JM
authors.lastname: Wang
authors.forename: Jun-jie
authors.initials: JJ
authors.lastname: Zhao
authors.forename: Chun-hua
authors.initials: CH
authors.lastname: Lin
authors.forename: Lin
authors.initials: L
authors.lastname: Wang
mesh_terms: D000328:Adult; D016022:Case-Control Studies; D016009:Chi-Square Distribution; D002681:China; D005260:Female; D006085:Graft Survival; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects / Q000379:methods*; D010535:Laparoscopy / Q000009:adverse effects; D019520:Living Donors; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000009:adverse effects / Q000379:methods*; D017060:Patient Satisfaction; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult