Favorable outcomes among recipients of living-donor nephrectomy using video-assisted minilaparotomy

Soon I. Kim, Koon H. Rha, Jong H. Lee, Hyun J. Kim, Ki H. Kwon, Yu Seun Kim, Seung C. Yang, Sung J. Hong, Kiil Park

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Background. Minimally invasive, living-donor nephrectomy (LDN) is an attractive procedure for the donor in kidney transplantation (KTx). Its advantages include better cosmesis, shorter hospital stay, and rapid recovery. The most commonly performed, minimally invasive nephrectomy is done laparoscopically. However, the technical challenges, a steep learning curve for the surgeon, the risk of impaired early graft function, and the high cost of the procedure, have prevented minimally invasive LDN from gaining wide acceptance. To overcome these problems, we have developed a new surgical procedure named video-assisted minilaparotomy (VAM) for LDN. VAM-LDN is performed entirely with a small retrieval incision. Moreover, it does not require the induction of pneumoperitoneum, thereby avoiding potential vascular and renal complications. Methods. We evaluated the outcome of transplant recipients receiving kidneys with the VAM-LDN procedure by retrospectively comparing the surgical outcomes of patients who underwent KTx with the conventional open nephrectomy (group I, n=382) and VAM-LDN (group II, n=170) procedures from March 1, 1997, to June 30, 2002, at our institution. We compared postoperative complications, patient and graft survival, and graft functions between these two groups during a 12-month follow-up period. Results. There were no differences in demographic data, ABO compatibility, degree of human leukocyte antigen matching, or method of immunosuppression between the two groups (P&0.05). No significant difference was observed in complications such as delayed graft function, acute rejection, ureter complication, graft failure, or patient's mortality. There was no difference in graft function between the two groups, as determined by serum creatinine level measured during 12-month follow-up. Conclusion. The short-term recipient outcome was favorable in patients who underwent KTx with the VAM-LDN procedure.

Original languageEnglish
Pages (from-to)1725-1728
Number of pages4
JournalTransplantation
Volume77
Issue number11
DOIs
Publication statusPublished - 2004 Jun 15

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Living Donors
Nephrectomy
Laparotomy
Transplants
Delayed Graft Function
Kidney
Pneumoperitoneum
Learning Curve
Graft Survival
Ureter
HLA Antigens
Kidney Transplantation
Immunosuppression
Blood Vessels
Length of Stay
Creatinine
Demography
Tissue Donors
Costs and Cost Analysis
Mortality

All Science Journal Classification (ASJC) codes

  • Transplantation

Cite this

Kim, Soon I. ; Rha, Koon H. ; Lee, Jong H. ; Kim, Hyun J. ; Kwon, Ki H. ; Seun Kim, Yu ; Yang, Seung C. ; Hong, Sung J. ; Park, Kiil. / Favorable outcomes among recipients of living-donor nephrectomy using video-assisted minilaparotomy. In: Transplantation. 2004 ; Vol. 77, No. 11. pp. 1725-1728.
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abstract = "Background. Minimally invasive, living-donor nephrectomy (LDN) is an attractive procedure for the donor in kidney transplantation (KTx). Its advantages include better cosmesis, shorter hospital stay, and rapid recovery. The most commonly performed, minimally invasive nephrectomy is done laparoscopically. However, the technical challenges, a steep learning curve for the surgeon, the risk of impaired early graft function, and the high cost of the procedure, have prevented minimally invasive LDN from gaining wide acceptance. To overcome these problems, we have developed a new surgical procedure named video-assisted minilaparotomy (VAM) for LDN. VAM-LDN is performed entirely with a small retrieval incision. Moreover, it does not require the induction of pneumoperitoneum, thereby avoiding potential vascular and renal complications. Methods. We evaluated the outcome of transplant recipients receiving kidneys with the VAM-LDN procedure by retrospectively comparing the surgical outcomes of patients who underwent KTx with the conventional open nephrectomy (group I, n=382) and VAM-LDN (group II, n=170) procedures from March 1, 1997, to June 30, 2002, at our institution. We compared postoperative complications, patient and graft survival, and graft functions between these two groups during a 12-month follow-up period. Results. There were no differences in demographic data, ABO compatibility, degree of human leukocyte antigen matching, or method of immunosuppression between the two groups (P&0.05). No significant difference was observed in complications such as delayed graft function, acute rejection, ureter complication, graft failure, or patient's mortality. There was no difference in graft function between the two groups, as determined by serum creatinine level measured during 12-month follow-up. Conclusion. The short-term recipient outcome was favorable in patients who underwent KTx with the VAM-LDN procedure.",
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Favorable outcomes among recipients of living-donor nephrectomy using video-assisted minilaparotomy. / Kim, Soon I.; Rha, Koon H.; Lee, Jong H.; Kim, Hyun J.; Kwon, Ki H.; Seun Kim, Yu; Yang, Seung C.; Hong, Sung J.; Park, Kiil.

In: Transplantation, Vol. 77, No. 11, 15.06.2004, p. 1725-1728.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Favorable outcomes among recipients of living-donor nephrectomy using video-assisted minilaparotomy

AU - Kim, Soon I.

AU - Rha, Koon H.

AU - Lee, Jong H.

AU - Kim, Hyun J.

AU - Kwon, Ki H.

AU - Seun Kim, Yu

AU - Yang, Seung C.

AU - Hong, Sung J.

AU - Park, Kiil

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N2 - Background. Minimally invasive, living-donor nephrectomy (LDN) is an attractive procedure for the donor in kidney transplantation (KTx). Its advantages include better cosmesis, shorter hospital stay, and rapid recovery. The most commonly performed, minimally invasive nephrectomy is done laparoscopically. However, the technical challenges, a steep learning curve for the surgeon, the risk of impaired early graft function, and the high cost of the procedure, have prevented minimally invasive LDN from gaining wide acceptance. To overcome these problems, we have developed a new surgical procedure named video-assisted minilaparotomy (VAM) for LDN. VAM-LDN is performed entirely with a small retrieval incision. Moreover, it does not require the induction of pneumoperitoneum, thereby avoiding potential vascular and renal complications. Methods. We evaluated the outcome of transplant recipients receiving kidneys with the VAM-LDN procedure by retrospectively comparing the surgical outcomes of patients who underwent KTx with the conventional open nephrectomy (group I, n=382) and VAM-LDN (group II, n=170) procedures from March 1, 1997, to June 30, 2002, at our institution. We compared postoperative complications, patient and graft survival, and graft functions between these two groups during a 12-month follow-up period. Results. There were no differences in demographic data, ABO compatibility, degree of human leukocyte antigen matching, or method of immunosuppression between the two groups (P&0.05). No significant difference was observed in complications such as delayed graft function, acute rejection, ureter complication, graft failure, or patient's mortality. There was no difference in graft function between the two groups, as determined by serum creatinine level measured during 12-month follow-up. Conclusion. The short-term recipient outcome was favorable in patients who underwent KTx with the VAM-LDN procedure.

AB - Background. Minimally invasive, living-donor nephrectomy (LDN) is an attractive procedure for the donor in kidney transplantation (KTx). Its advantages include better cosmesis, shorter hospital stay, and rapid recovery. The most commonly performed, minimally invasive nephrectomy is done laparoscopically. However, the technical challenges, a steep learning curve for the surgeon, the risk of impaired early graft function, and the high cost of the procedure, have prevented minimally invasive LDN from gaining wide acceptance. To overcome these problems, we have developed a new surgical procedure named video-assisted minilaparotomy (VAM) for LDN. VAM-LDN is performed entirely with a small retrieval incision. Moreover, it does not require the induction of pneumoperitoneum, thereby avoiding potential vascular and renal complications. Methods. We evaluated the outcome of transplant recipients receiving kidneys with the VAM-LDN procedure by retrospectively comparing the surgical outcomes of patients who underwent KTx with the conventional open nephrectomy (group I, n=382) and VAM-LDN (group II, n=170) procedures from March 1, 1997, to June 30, 2002, at our institution. We compared postoperative complications, patient and graft survival, and graft functions between these two groups during a 12-month follow-up period. Results. There were no differences in demographic data, ABO compatibility, degree of human leukocyte antigen matching, or method of immunosuppression between the two groups (P&0.05). No significant difference was observed in complications such as delayed graft function, acute rejection, ureter complication, graft failure, or patient's mortality. There was no difference in graft function between the two groups, as determined by serum creatinine level measured during 12-month follow-up. Conclusion. The short-term recipient outcome was favorable in patients who underwent KTx with the VAM-LDN procedure.

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