title: A Comparative Study of Laparoscopic with Conventional Open Donor Nephrectomy in Renal Transplantation.
abstract: BACKGROUND
  Laparoscopic donor nephrectomy (LDN) has been gaining popularity among kidney donors. There have been concerns about the safety and efficacy of the procedure as compared to open donor nephrectomy (ODN). We compare our results on LDN with ODN.
  
  
  METHODS
  We retrospectively analysed our data of LDN and ODN. Duration of surgery, blood loss, period of hospitalisation, per oral intake and analgesic requirements.
  
  
  RESULTS
  22 LDNs were done, the operation time ranged from 220-300 minutes, and blood loss from 100-150ml. In the first 10 laparoscopic operations four cases required conversion to open surgical dissection. Only one case was converted to open surgery in the subsequent 12 laparoscopic cases. Oral intake was started on the first postoperative day. Analgesic requirement in laparoscopy cases was less. Patients were mobilised on the first day after surgery. Patients were discharged by seventh day. There was no significant difference in the functioning of the graft after revascularisation in the recipient.
  
  
  CONCLUSIONS
  Laparoscopic donor nephrectomy is a safe and effective technique of donor nephrectomy.
authors.affiliation: Senior Advisor and Head of Dept, Delhi Cantt.
authors.forename: T
authors.initials: T
authors.lastname: Sinha
authors.affiliation: Senior Advisor (Medicine and Nephrology) Army Hospital (R&R), Delhi Cantt.
authors.forename: P P
authors.initials: PP
authors.lastname: Varma
authors.affiliation: Graded Specialist (Surgery), Army Hosp (R&R), Delhi Cantt.
authors.forename: A
authors.initials: A
authors.lastname: Srivastava
authors.affiliation: Senior Advisor (Surgery and Urology), AH(R&R), Delhi Cantt.
authors.forename: S C
authors.initials: SC
authors.lastname: Karan
authors.affiliation: Classified Specialist (Surgery and Urology), AH (R&R), Delhi Cantt.
authors.forename: A S
authors.initials: AS
authors.lastname: Sandhu
authors.affiliation: Classified Specialist (Surgery and Urology), AH (R&R), Delhi Cantt.
authors.forename: G S
authors.initials: GS
authors.lastname: Sethi
authors.affiliation: Classified Specialist (Surg), CH (SC) Pune.
authors.forename: R
authors.initials: R
authors.lastname: Khanna
authors.affiliation: Classified Specialist (Surg), CH (SC) Pune.
authors.forename: R
authors.initials: R
authors.lastname: Talwar
authors.affiliation: Resident (Urology), AH (R&R), Delhi Cantt.
authors.forename: V
authors.initials: V
authors.lastname: Narang
keywords: Kidney transplantation; Laparoscopic donor nephrectomy; Laparoscopy; Living kidney donors