Laparoscopic donor nephrectomy

Details

Serval ID
serval:BIB_D056E62DD6D0
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Laparoscopic donor nephrectomy
Journal
British Journal of Surgery
Author(s)
Handschin  A. E., Weber  M., Demartines  N., Clavien  P. A.
ISSN
0007-1323 (Print)
Publication state
Published
Issued date
11/2003
Volume
90
Number
11
Pages
1323-32
Notes
Journal Article
Review --- Old month value: Nov
Abstract
BACKGROUND: Living kidney donation represents an important source of organs for patients with end-stage renal failure. Over the past decade, laparoscopic donor nephrectomy has replaced the conventional open procedure in many transplant centres. Using evidence-based methods, this study examines the current status of laparoscopic donor nephrectomy. METHOD: A Medline literature search (PubMed database, 1999-2002) and manual cross-referencing were performed to identify all articles relating to laparoscopic donor nephrectomy. Safety and efficacy criteria were analysed systematically for each study. Studies included were categorized using an evidence-based level grading system. RESULTS: Of 687 publications, 20 studies with level I-II evidence and 12 with level III evidence were analysed. Only one level I study could be identified. Level I and level II evidence suggests superiority of the laparoscopic approach in regard to postoperative analgesic consumption, hospital stay and return to work. Other safety and efficacy criteria, including donor and recipient outcomes, were similar between the two techniques. CONCLUSION: Laparoscopic donor nephrectomy has gained community acceptance by physicians and patients over the past decade. Despite a lack of strong evidence, such as large prospective randomized studies, laparoscopic donor nephrectomy is likely to become the 'gold standard' for donor nephrectomy in the near future.
Keywords
Analgesics/therapeutic use Blood Loss, Surgical Cost-Benefit Analysis Humans Kidney Failure, Chronic/economics/*surgery Kidney Transplantation/adverse effects/economics/*methods Laparoscopy/adverse effects/economics/*methods Length of Stay *Living Donors Nephrectomy/adverse effects/economics/*methods Randomized Controlled Trials Tissue and Organ Procurement/economics/methods Treatment Outcome
Pubmed
Web of science
Create date
28/01/2008 8:53
Last modification date
20/08/2019 15:50
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