[Surgical technique for laparoscopic kidney donation].

Abstract

OBJECTIVE:

Dialysis cannot fully replace kidney function in patients diagnosed with end-stage renal disease. Patients undergoing dialysis therapy show a significantly reduced quality of life, morbidity and mortality compared to healthy individuals. Every patient diagnosed with end-stage renal disease should be evaluated for a potential kidney transplant, potentially by means of living-donor kidney donation.

INDICATIONS:

Via living-donor kidney donation, patients diagnosed with end-stage renal disease can receive a kidney transplant already before dialysis therapy needs to be initiated. Those patients show a significantly improved long-term graft and patient survival in comparison to patients transplanted after cadaveric organ donation.

PROCEDURE:

We here describe the evaluation process of living-donor kidney donation and the procedure of transperitoneal laparoscopic donor-nephrectomy.

CONCLUSION:

Although technically demanding, laparoscopic donor nephrectomy after careful donor evaluation is a safe procedure. An interdisciplinary medical-surgical management is important for both careful patient selection and life-long aftercare.

• Authors: C Hackl, C Böger, H J Schlitt, S Farkas
• Journal: Zentralblatt fur Chirurgie (Zentralbl Chir) Vol. 139 Issue 5 Pg. 483-5 (Oct 2014) ISSN: 1438-9592 [Electronic] Germany
• Vernacular Title: Die chirurgische Technik der laparoskopischen Nierenlebendspende.
• PMID: 25313885 (Publication Type: Case Reports, Journal Article, Webcast)
• Copyright: Georg Thieme Verlag KG Stuttgart · New York.

Topics

• Cooperative Behavior
• Female
• Graft Rejection (prevention & control)
• Graft Survival
• Humans
• Immunosuppression Therapy (methods)
• Interdisciplinary Communication
• Kidney Failure, Chronic (mortality, surgery)
• Kidney Transplantation (methods)
• Laparoscopy (methods)
• Living Donors
• Male
• Middle Aged
• Nephrectomy (methods)
• Postoperative Complications (mortality, prevention & control)
• Renal Dialysis
• Spouses
• Survival Analysis
• Tissue and Organ Harvesting (methods)
• Tissue and Organ Procurement