Comparison of the laparoscopic versus open live donor nephrectomy: an overview of surgical complications and outcome

摘要: Kidney transplantation (KTx) is considered to be the treatment of choice for end stage renal disease. One most challenging dilemmas in KTx shortage suitable organs. The live donor nephrectomy a unique operation performed on healthy donors, which provides superior outcome recipients. Several surgical techniques have been developed so far minimize postoperative complications as much possible without compromising quality kidney. development minimally invasive surgery, laparoscopic (LDN), was based this concept. By searching pubmed, we reviewed evidence clinical studies specifically randomized trials and meta-analyses give an overview efficacy safety LDN versus ODN. advantages vs. conventional open (ODN) are smaller incision, better wound cosmetics, lower rate incisional hernia adhesion, less pain, shorter hospitalization, earlier return work. Some concerns longer operative warm ischemic times, long-term learning curve surgeons, risk more serious than during Overall, review literature shows that hospital stay, period rehabilitation, normal work physical activities comparison flank but comparable mini muscle splitting approach. complication generally centers accustomed performing LDNs; however, can life threatening could impose significant costs health system. Weighing time, well against mandates precise indication. risk-benefit assessment choosing one procedure should done meticulously. Even though short-term graft function both comparable, there lack enough analyses. Finally, any transplant center, cost considered.