Laparoscopic live donor nephrectomy: A review of the first 5 years

L. E. Ratner, R. A. Montgomery, L. R. Kavoussi

Research output: Contribution to journalArticle

Abstract

Laparoscopic live donor nephrectomy is technically feasible. The operation has evolved over the last 5 years and is greatly improved compared with the procedure originally described. Advantages to the donor when compared with the standard open operation are decreased postoperative pain, shorter hospitalization, a quicker recuperation, an earlier return to driving, and an earlier return to employment. These improvements have resulted in fewer lost wages and a lower financial burden for donors. Live donor nephrectomy also provides improved cosmetic results. It successfully removes many of the disincentives to live kidney donation and has resulted in an increased willingness of individuals to donate their kidneys. The operative risk seems to be equivalent to that of the open donor operation performed through a flank approach. Although there is no financial advantage of the laparoscopic operation in terms of hospital costs, the increase seen in live donor transplantation may result in long-term cost savings overall. Kidneys procured laparoscopically function well in recipients in the short and long term. There is no increased risk for rejection or technical complications, and the recipient's length of hospitalization is unaffected. The laparoscopic donor operation does not have any apparent deleterious effect on the recipient. The procedure is being adopted rapidly by transplant centers around the world and has been performed at more than 100 centers on five continents. The authors believe that laparoscopic live donor nephrectomy will become the standard of care in the not too distant future.

Original languageEnglish (US)
Pages (from-to)709-719
Number of pages11
JournalUrologic Clinics of North America
Volume28
Issue number4
StatePublished - 2001

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Nephrectomy
Kidney
Hospitalization
Cost Savings
Hospital Costs
Salaries and Fringe Benefits
Standard of Care
Postoperative Pain
Cosmetics
Motivation
Transplantation
Transplants

ASJC Scopus subject areas

  • Urology

Cite this

Ratner, L. E., Montgomery, R. A., & Kavoussi, L. R. (2001). Laparoscopic live donor nephrectomy: A review of the first 5 years. Urologic Clinics of North America, 28(4), 709-719.

Laparoscopic live donor nephrectomy : A review of the first 5 years. / Ratner, L. E.; Montgomery, R. A.; Kavoussi, L. R.

In: Urologic Clinics of North America, Vol. 28, No. 4, 2001, p. 709-719.

Research output: Contribution to journalArticle

Ratner, LE, Montgomery, RA & Kavoussi, LR 2001, 'Laparoscopic live donor nephrectomy: A review of the first 5 years', Urologic Clinics of North America, vol. 28, no. 4, pp. 709-719.
Ratner, L. E. ; Montgomery, R. A. ; Kavoussi, L. R. / Laparoscopic live donor nephrectomy : A review of the first 5 years. In: Urologic Clinics of North America. 2001 ; Vol. 28, No. 4. pp. 709-719.
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