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Laparoscopic Living Donor Nephrectomy—Single-Center Initial Experience
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Bartosz Małkiewicz, Dorota Kamińska, Maximilian Kobylański, Małgorzata Łątkowska, Wojciech Handzlik, Paweł Dębiński, Wojciech Krajewski, Oktawia Mazanowska, Paweł Poznański, Mirosław Banasik, Dariusz Patrzałek, Dariusz Janczak, Magdalena Krajewska, Romuald Zdrojowy and Tomasz Szydełko
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Abstract
(1) Background: Donor nephrectomy for living donor kidney transplantation using minimally invasive techniques is a safe procedure that has been used for more than 20 years with excellent results. The total laparoscopic approach offers decreased postoperative pain, less incisional morbidity, and a shorter
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(1) Background: Donor nephrectomy for living donor kidney transplantation using minimally invasive techniques is a safe procedure that has been used for more than 20 years with excellent results. The total laparoscopic approach offers decreased postoperative pain, less incisional morbidity, and a shorter recovery time. (2) Methods: We present the results of a series of 43 laparoscopic donor nephrectomies performed in a single center. The procedures were performed in a systematic approach with transperitoneal access using four ports. The main renal artery and vein were ligated using a linear stapler fixed with an alternate triple row of titanium staples. The specimen was extracted in an endoscopic bag through an additional incision. (3) Results: All procedures were performed laparoscopically without conversion to open surgery. The average warm ischemia time was 4.73 min. In all recipients, immediate kidney allograft function was observed. (4) Conclusions: Total laparoscopic living donor nephrectomy is a safe procedure. It was performed successfully in all cases with a short surgical time, low morbidity, and 0% mortality.
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