Nephrol Dial Transplant (2000) 15: 1124-1126
© 2000 European Renal Association-European Dialysis and Transplant Association
Editorial Comments
Laparoscopic live-donor nephrectomy
Department of Surgery, Leicester General Hospital, Leicester, UK
Keywords: kidney transplantation; laparoscopy; live-; donor nephrectomy
Introduction
The demand for kidney transplantation continues to outstrip the supply, with the inevitable consequence that kidney transplant waiting lists lengthen each year. One of the potential solutions to this problem is to increase the use of live donors, a policy that has been particularly successful in Norway [1]. Although living kidney donation has many advantages, including the best graft survival results, these benefits carry a unique price in that an otherwise healthy individual must be exposed to all the risks of major surgery for the benefit of another person. A traditional open nephrectomy, whether performed through an extraperitoneal loin approach or a transperitoneal anterior approach, leaves a formidable wound. There is no doubt that this is one of the main disincentives to potential live donors who may express concerns about wound pain, poor cosmetic results and the need for a prolonged recovery period. The advent of laparoscopic live-donor
Surgical technique
Comparisons of laparoscopic and conventional open nephrectomy
Prospects
Notes
References
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