Laparoscopic live donor nephrectomy versus mini incision endoscopic donor nephrectomy

Abstract

【Objective】From January 2007, we employed laparoscopic live donor nephrectomy. We summarized the surgical outcome of this procedure.【Material and Methods】We retrospectively compared the surgical outcome of laparoscopic live donor nephrectomy (63 cases：L group) and those of mini-incision endoscopic live donor nephrectomy (29 cases：M group).【Results】While L group needed significantly longer operation time compared to M group (329.0±69.0, 279±45.7min, p＜0.05), estimated blood loss and warm ischemia time seemed equivalent between L group and M group. L group was sub-grouped to initial 30 cases (initial phase) and following 33 cases (late phase) to compare the surgical outcome between these two subgroups. Mean operation time and estimated blood loss were significantly reduced in the late phase subgroup (374±67.7min, 295±59.0min, p＜0.01) (754±97.4mL, 282±92.8mL, p＜0.01). In the late phase, mean operation time of the L group was comparable of those with M group and estimated blood loss was significantly decreased in L group compared to those of M group.【Conclusions】In the initial case of L group, mean operation time was longer, and estimated blood loss was higher compared to late phase, but improved with increasing experience of L group.