The Non-Muscle-Splitting Mini-Incision Donor Nephrectomy Remains a Feasible Technique in the Laparoscopic Era of Living Kidney Donation

Lex J. M. Habets; Andrzej G. Baranski; Khalil Ramdhani; Danny van der Helm; Ada Haasnoot; Aiko P. J. de Vries; Koen E. A. van der Bogt; Andries E. Braat; Jeroen Dubbeld; Hwai-Ding Lam; Jeroen Nieuwenhuizen; Willemijn N. Nijboer; Dorottya. K. de Vries; Ian P. J. Alwayn; Alexander F. M. Schaapherder; Volkert A. L. Huurman

doi:10.3390/transplantology4010001

Transplantology (Dec 2022)

The Non-Muscle-Splitting Mini-Incision Donor Nephrectomy Remains a Feasible Technique in the Laparoscopic Era of Living Kidney Donation

Lex J. M. Habets,
Andrzej G. Baranski,
Khalil Ramdhani,
Danny van der Helm,
Ada Haasnoot,
Aiko P. J. de Vries,
Koen E. A. van der Bogt,
Andries E. Braat,
Jeroen Dubbeld,
Hwai-Ding Lam,
Jeroen Nieuwenhuizen,
Willemijn N. Nijboer,
Dorottya. K. de Vries,
Ian P. J. Alwayn,
Alexander F. M. Schaapherder,
Volkert A. L. Huurman

Affiliations

Lex J. M. Habets: Department of Surgery, LUMC Transplant Center, Leiden University Medical Center, 2333 AZ Leiden, The Netherlands
Andrzej G. Baranski: Department of Surgery, LUMC Transplant Center, Leiden University Medical Center, 2333 AZ Leiden, The Netherlands
Khalil Ramdhani: Department of Surgery, LUMC Transplant Center, Leiden University Medical Center, 2333 AZ Leiden, The Netherlands
Danny van der Helm: LUMC Transplant Center, Leiden University Medical Center, 2333 AZ Leiden, The Netherlands
Ada Haasnoot: Department of Surgery, LUMC Transplant Center, Leiden University Medical Center, 2333 AZ Leiden, The Netherlands
Aiko P. J. de Vries: LUMC Transplant Center, Leiden University Medical Center, 2333 AZ Leiden, The Netherlands
Koen E. A. van der Bogt: Department of Surgery, LUMC Transplant Center, Leiden University Medical Center, 2333 AZ Leiden, The Netherlands
Andries E. Braat: Department of Surgery, LUMC Transplant Center, Leiden University Medical Center, 2333 AZ Leiden, The Netherlands
Jeroen Dubbeld: Department of Surgery, LUMC Transplant Center, Leiden University Medical Center, 2333 AZ Leiden, The Netherlands
Hwai-Ding Lam: Department of Surgery, LUMC Transplant Center, Leiden University Medical Center, 2333 AZ Leiden, The Netherlands
Jeroen Nieuwenhuizen: Department of Surgery, LUMC Transplant Center, Leiden University Medical Center, 2333 AZ Leiden, The Netherlands
Willemijn N. Nijboer: Department of Surgery, LUMC Transplant Center, Leiden University Medical Center, 2333 AZ Leiden, The Netherlands
Dorottya. K. de Vries: Department of Surgery, LUMC Transplant Center, Leiden University Medical Center, 2333 AZ Leiden, The Netherlands
Ian P. J. Alwayn: Department of Surgery, LUMC Transplant Center, Leiden University Medical Center, 2333 AZ Leiden, The Netherlands
Alexander F. M. Schaapherder: Department of Surgery, LUMC Transplant Center, Leiden University Medical Center, 2333 AZ Leiden, The Netherlands
Volkert A. L. Huurman: Department of Surgery, LUMC Transplant Center, Leiden University Medical Center, 2333 AZ Leiden, The Netherlands

DOI: https://doi.org/10.3390/transplantology4010001
Journal volume & issue: Vol. 4, no. 1
pp. 1 – 11

Abstract

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Laparoscopic donor nephrectomy (LDN) is the current gold standard in kidney donation. Mini-incision open donor nephrectomy (MINI) techniques have been used extensively but have become less popular. The aim of the present study was to compare the results and safety of a non-muscle-splitting MINI technique with the current gold standard of LDN. A single center retrospective cohort study of all living donor nephrectomies between 2011 and 2019 was used for the study. The primary outcome of this study was short term (<30 days) with Clavien–Dindo grade complications. Secondary outcomes included multivariable regression analysis of perioperative data. No differences in complication rates were observed between MINI and LDN and also after correction for known confounders. As expected, the operative time and first warm ischemia were significantly shorter in the MINI group and less blood loss was observed in the LDN group. Complications and conversion rate (LDN to open) among the LDN patients were in line with recent published meta-analyses. This study confirms the perioperative safety of living kidney donation in modern practice. Complication rates of both MINI and LDN procedures are limited and not different between procedures. In specific circumstances, the MINI procedure can still be considered a safe and feasible alternative for living kidney donation.

Published in Transplantology

ISSN: 2673-3943 (Online)
Publisher: MDPI AG
Country of publisher: Switzerland
LCC subjects: Medicine: Surgery
Website: https://www.mdpi.com/journal/transplantology

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