Table of Contents
ISRN Transplantation
Volume 2013, Article ID 539614, 5 pages
http://dx.doi.org/10.5402/2013/539614
Research Article

Comparing Surgical Complications of Donors and Recipients in Retroperitoneoscopic versus Mini-Incision Donor Nephrectomy: A Single-Center Experience

1Department of Hepatobiliary and Transplant Surgery, University Medical Centre, Hamburg-Eppendorf, Martinistraße 52, 20246 Hamburg, Germany
2Department of Urology, University Hospital Basel, Petersgraben 4, 4031 Basel, Switzerland

Received 5 November 2012; Accepted 23 December 2012

Academic Editors: A. E. El-Agroudy, A. Rydzewski, and M. Veroux

Copyright © 2013 Martina Koch et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Anterior vertical mini-incision donor nephrectomy (MIDN) has been used as the standard retrieval procedure in our center. Though the MIDN approach was tolerated very well with low complication rates, there were especially cosmetic reasons, to consider a change of procedure. Hence we switched to a total retroperitoneoscopic donor nephrectomy (RPDN) in 2011. We compared the outcome and surgical complications of donors and recipients of the first 30 RPDNs performed with 30 consecutive MIDN procedures. In both techniques, right and left nephrectomies were carried out. After a very short learning curve, the mean RPDN operation times were shorter compared to the MIDN (109 versus 171 min, ) and donors were discharged earlier. No major complications occurred in the RPDN group and complications were less frequent compared to MIDN (17% versus 40%). The renal function in the recipients was equivalent in both groups at the time of discharge and after one year. We conclude that RPDN is easy to learn for a surgical team experienced in open retroperitoneal donor nephrectomy. The change of the retrieval technique is safe for the donor and the recipient regarding surgical complications and recipients’ renal function. Donors benefit from RPDN due to earlier hospital discharge and faster recovery.