@article {245,
	title = {Hand-assisted laparoscopic living-donor nephrectomy as an alternative to traditional laparoscopic living-donor nephrectomy},
	journal = {Am J Transplant},
	volume = {2},
	year = {2002},
	note = {1600-6135 (Print) Clinical Trial Controlled Clinical Trial Journal Article},
	month = {Nov},
	pages = {983 - 8},
	abstract = {The benefits of laparoscopic living-donor nephrectomy (LDN) are well described, while similar data on hand-assisted laparoscopic living-donor nephrectomy (HALDN) are lacking. We compare hand-assisted laparoscopic living-donor nephrectomy with open donor nephrectomy. One hundred consecutive hand-assisted laparoscopic living-donor nephrectomy (10/98-8/01) donor/recipient pairs were compared to 50 open donor nephrectomy pairs (8/97-1/00). Mean donor weights were similar (179.6 +/- 40.8 vs. 167.4 +/- 30.3 lb; p = NS), while donor age was greater among hand-assisted laparoscopic living-donor nephrectomy (38.2 +/- 9.5 vs. 31.2 +/- 7.8 year; p < 0.01). Right nephrectomies was fewer in hand-assisted laparoscopic living-donor nephrectomy [17/100 (17\%) vs. 22/50 (44\%); p < 0.05]. Operative time for hand-assisted laparoscopic living-donor nephrectomy (3.9 +/- 0.7 vs. 2.9 +/- 0.5 h; p < 0.01) was longer; however, return to diet (6.9 +/- 2.8 vs. 25.6 +/- 6.1 h; p < 0.01), narcotics requirement (17.9 +/- 6.3 vs. 56.3 +/- 6.4h; p < 0.01) and length of stay (51.7 +/- 22.2 vs. 129.6 +/- 65.7 h; p < 0.01) were less than open donor nephrectomy. Costs were similar ($11072 vs. 10840). Graft function and 1-week Cr of 1.4 +/- 0.9 vs. 1.6 +/- 1.1 g/dL (p = NS) were similar. With the introduction of HALDN, our laparoscopic living-donor nephrectomy program has increased by 20\%. Thus, similar to traditional laparoscopic donor nephrectomy, hand-assisted laparoscopic living-donor nephrectomy provides advantages over open donor nephrectomy without increasing costs.},
	keywords = {*Living Donors, Activities of Daily Living, Comparative Study, Costs and Cost Analysis, Humans, Kidney Transplantation / methods / physiology, Laparoscopy / economics / *methods, Length of Stay, Nephrectomy / economics / *methods, Ohio, Pain, Postoperative / drug therapy / epidemiology, Posture, Time Factors},
	author = {Buell,J. F. and Hanaway,M. J. and Potter,S. R. and Cronin,D. C. and Yoshida,A. and Munda,R. and Alexander,J. W. and Newell,K. A. and Bruce,D. S. and Woodle,E. S.}
}
