Evolution of Living Donor Nephrectomy at a Single Center: Long-term Outcomes With 4 Different Techniques in Greater Than 4000 Donors Over 50 Years

TitleEvolution of Living Donor Nephrectomy at a Single Center: Long-term Outcomes With 4 Different Techniques in Greater Than 4000 Donors Over 50 Years
Publication TypeJournal Article
Year of Publication2016
AuthorsSerrano OK, Kirchner V, Bangdiwala A, Vock DM, Dunn TB, Finger EB, Payne WD, Pruett TL, Sutherland DE, Najarian JS, Matas AJ, Kandaswamy R
Volume100
Issue6
Pagination299
Date PublishedJun
Abstract

Background: The development of minimally invasive surgical approaches to donor nephrectomy (DN) has been driven by the potential advantages for the donor, with questions remaining about long-term outcomes.
Methods: All living DN performed from June 1963 through December 2014 at the University of Minnesota were reviewed. Outcomes were compared among 4 DN techniques.
Results: We performed 4286 DNs: 2759 open DN (ODNs), 1190 hand-assisted (HA) laparoscopic DNs (LDNs), 203 pure LDN (P-LDNs), and 97 robot-assisted-LDN. Laparoscopic DN was associated with an older (P 30 day, P Conclusions: In our experience, LDN was associated with decreased donor intraoperative complications and hospital length of stay but higher rates of readmission and long-term complications.
DOI10.1097/TP.0000000000001251
Notify Library Reference ID4941

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