Category: Transplantation/ Donor Nephrectomy

VS13-2 - Three-dimensional laparoscopy for living-donor nephrectomy

Sun, Sep 23
10:00 AM - 12:00 PM

Introduction & Objective : We applied the three-dimensional laparoscopic living donor nephrectomy (3DLLDN) for kidney harvesting. To assess the safety, feasibility, and results of this technique, we analyzed the initial data of 3DLLDN to assess outcomes and evaluate our experience in the series.


Methods : Data were collected prospectively on 8 donors with 3DLLDN at our hospital during November 2015. The donors were chosen by the Renal Transplantation Council of our Hospital (donor national criteria). All of them were related living donors, except who can demonstrate the humanitarian motive and non-remunerated donor. To choose the side of the kidney to harvest, we prefer to remain the best function kidney (by renal isotopic scan) or the healthy kidney of the donor. The abnormally of kidney vessels with multiple arteries were not the main criteria of side choosing. Patient demographics, radiology findings, surgery results, peri-operative complications, warm ischemia time, hospital stay and follow-up results were recorded. The primary outcomes were intraoperative surgical results.


Results : There were 8 cases of 3DLLDN. Female/male: 1:1. Age mean 45.25 years. Right kidney nephrectomy: 37.5% (3/8 cases). Two-artery kidney: 37.5% (3/8 cases). Warm ischemic time: 3.75 minutes. Operative time: 150.5 minutes. Hospitalized time: 3 days. None postoperative complications.


Conclusions : The technique was relatively simple and feasible with standard instruments for laparoscopic surgery.

Thanh-Tuan Nguyen

Doctor
University of Medicine and Pharmacy at Ho Chi Minh city, Cho Ray Hospital
Ho Chi Minh, Ho Chi Minh, Vietnam

Nguyen Thanh Tuan
Urologist - Cho Ray hospital
Lecturer - University of Medicine and Pharmacy at Ho Chi Minh City

Quy Thuan Chau

Ho Chi Minh, Ho Chi Minh, Vietnam

Do La Quach

Ho Chi Minh, Ho Chi Minh, Vietnam

Kinh Luan Thai

Ho Chi Minh, Ho Chi Minh, Vietnam

Duc Huy Vu

Ho Chi Minh, Ho Chi Minh, Vietnam

Duy Dien Nguyen

Ho Chi Minh, Ho Chi Minh, Vietnam

Trong Tri Tran

Ho Chi Minh, Ho Chi Minh, Vietnam

Trong Hien Nguyen

Ho Chi Minh, Ho Chi Minh, Vietnam

Khac Chuan Hoang

Ho Chi Minh, Ho Chi Minh, Vietnam

Xuan Thai Ngo

Ho Chi Minh, Ho Chi Minh, Vietnam

Minh Sam Thai

Ho Chi Minh, Ho Chi Minh, Vietnam

Ngoc Sinh Tran

Ho Chi Minh, Ho Chi Minh, Vietnam