Laparoscopic or open surgery for living donor nephrectomy

摘要: Background. The anterior extraperitoneal approach for living donor nephrectomy has been used in more than 700 cases the unit and proved to be safe donor. In 1998, laparoscopic was introduced as an option when technically feasable. We found it essential investigate consequences of new technique. Subjects methods. One hundred kidney transplantations were performed from 1998 June 2000, 45 with laparoscopic, 55 open nephrectomy. donors took part a structured interview 4 weeks after donation their responses categorized three classes. Results. each group, one recipient had delayed initial function. serum creatinine levels 3 7 days or GFR values 6 months did not differ. graft lost following four surgery. For laparoscopy donors, median number post-operative hospital 5.0 (range 2-9), vs 6.0 (4-8) surgery (NS). requirement opoid analgesics post-operatively doses (1-22) (1-38) (P = 0.02); weeks, 23 free pain eight 0.0004). Approximately one-third all felt some restriction physical activity majority complained impaired energy. There no differences between groups. duration sick-leave (2-19) (1-16) Conclusions. Laparoscopic is safe. Less definite advantage