title: Program of laparoscopic living-donor nephrectomy with retroperitoneoscopic access - a Polish single-center experience - success or disappointment?
abstract: BACKGROUND
  Laparoscopic living-donor nephrectomy (LLDN) is an attractive alternative to open approach and is a widely accepted method of kidney retrieval for transplantation. Here, we present the first Polish series of LLDN performed at a single center.
  
  
  METHODS
  Between April 2008 and May 2012, we performed 8 LLDN with an immediate renal transplantation using classical surgical approach and technique. Four men and 4 women were operated on. In all cases of LLDN, left kidneys were retrieved and retroperitoneal approach with 3 trocars was used according to the technique we described previously.
  
  
  RESULTS
  No intra- or postoperative complications were observed. The average "skin-to-skin" time of surgery was 138 minutes (min. 80; max. 210). The blood loss ranged from 0 to 280 ml (average, 80). Warm ischemia time did not exceed 3 minutes in any case. All organs were immediately implanted in the second operating room. Postoperative course was uneventful in all donors and recipients.
  
  
  CONCLUSIONS
  Similar to many authors, at the beginning of our program we hoped that introduction of LLDN would increase the donor pool in Poland. Unfortunately, so far, these expectations have not been realized. However, we consider our program as a success regarding multidisciplinary cooperation and feasibility of LLDN in our country.
authors.affiliation: Department of Urology and Urological Oncology, Pomeranian Medical University, Szczecin, Poland. mslojewski@gmail.com
authors.forename: Marcin
authors.initials: M
authors.lastname: Słojewski
authors.forename: Marek
authors.initials: M
authors.lastname: Myślak
authors.forename: Leszek
authors.initials: L
authors.lastname: Domański
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Pabisiak
authors.forename: Agata
authors.initials: A
authors.lastname: Jasiczek
authors.forename: Tadeusz
authors.initials: T
authors.lastname: Sulikowski
authors.forename: Jerzy
authors.initials: J
authors.lastname: Sieńko
authors.forename: Kazimierz
authors.initials: K
authors.lastname: Ciechanowski
authors.forename: Marek
authors.initials: M
authors.lastname: Ostrowski
authors.forename: Andrzej
authors.initials: A
authors.lastname: Sikorski
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D016030:Kidney Transplantation / Q000379:methods*; D010535:Laparoscopy / Q000379:methods; D019520:Living Donors; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000379:methods*; D011044:Poland; D020858:Tissue and Organ Harvesting / Q000379:methods*; D016896:Treatment Outcome