title: Laparoscopic donor nephrectomy, complications and management: a single center experience.
abstract: OBJECTIVE
  To present our experience with laparoscopic donor nephrectomy (LDN), our complications and management modalities.Material and methods:Fifty-one transperitoneal LDNs performed in our clinic between the years 2011, and 2015, were evaluated retrospectively. Demographic characteristics of the patients, operative and postoperative data and complications were evaluated.
  
  
  RESULTS
  Nineteen female and 32 male patients with ages ranging from 24 to 65 years underwent left- (n=44), and right-sided (n=7) LDNs. Six patients had two, and one patient three renal arteries. Mean operation time was 115±11 (min-max: 90-150) minutes, and mean warm ischemia time 111±9 (min-max: 90-140 sec) seconds. Mean hospital stay was found to be 2.5±0.5 days. No patient needed to switch to open surgery. In one patient, lumbar vein was ruptured, and hemostatic control was achieved laparoscopically. Postoperative paralytic ileus developed in two patients. Three patients had postoperative atelectasis, and a febrile (38.1°C) episode.
  
  
  CONCLUSIONS
  LDN is a minimally invasive method with advantages of short hospital stay, less analgesic requirement, and better cosmetic results. However it should be performed by surgeons with advanced laparoscopic experience.
authors.affiliation: Clinic of Urology, İstanbul Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey.
authors.forename: Volkan
authors.initials: V
authors.lastname: Tuğcu
authors.affiliation: Clinic of Urology, İstanbul Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey.
authors.forename: Selçuk
authors.initials: S
authors.lastname: Şahin
authors.affiliation: Clinic of Urology, İstanbul Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey.
authors.forename: İsmail
authors.initials: İ
authors.lastname: Yiğitbaşı
authors.affiliation: Clinic of Urology, İstanbul Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey.
authors.forename: Nevzat Can
authors.initials: NC
authors.lastname: Şener
authors.affiliation: Clinic of Nephrology, İstanbul Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey.
authors.forename: Fatih Gökhan
authors.initials: FG
authors.lastname: Akbay
authors.affiliation: Department of Urology, Bezmialem Vakıf University School of Medicine, İstanbul, Turkey.
authors.forename: Ali İhsan
authors.initials: Aİ
authors.lastname: Taşçı
keywords: Donor; laparoscopy; nephrectomy