Comparison of Laparoscopic and Open Live Donor Nephrectomy

• Published in: Pakistan Armed Forces medical journal Vol. 75; no. SUPPL-5; pp. S768 - S772
• Main Authors: Hashmi, Syed Daood, Razik, Sohail, Aziz, Majid, Naeem, Muhammad, Ali, Muhammad, Saeed, Bilal
• Format: Journal Article
• Language: English
• Published: Rawalpindi Army Medical Corps 31.07.2025
• Subjects: Armed forces; Creatinine; Females; Hospitals; Ischemia; Kidney diseases; Kidney transplants; Laparoscopy; Statistical analysis; Surgery; Urology; Veins & arteries; United Kingdom > UK; Nepal
• ISSN: 0030-9648; 2411-8842
• DOI: 10.51253/pafmj.v75iSUPPL-5.12109

Objective: To compare laparoscopic live donor nephrectomy with open live donor nephrectomy. Study Design: Cross Sectional Analytical Study. Place and Duration of study: Armed Forces Institute of Urology, from May 2023 to Apr 2024 Methodology: With non-probability consecutive sampling technique, the patients who presented in OPD between May 2023 and April 2024 and underwent live donor nephrectomy were selected by non-convenience sampling technique. The kidney donors were divided into two groups: Group A -those scheduled for open donor nephrectomy and Group B - those receiving laparoscopic donor nephrectomy. Results: There were 22 donors each group. The donors' ages varied from 36 to 59 years, with an average age of 47.75+5.29 years. In the participating group were thirty males and fourteen females. Study involved the performance of 7 right-sided donor nephrectomies (RDN) and 37 left-sided donor nephrectomies (LDN). In cases with Group B, the average length of the procedure was noticeably longer. Furthermore, the initial warm ischemia in Group B - lasted an average of 9.43 + 1.93 minutes, a significantly longer time than in Group A (4.04+1.21 minutes). It was determined that this difference was statistically significant. Conclusion: Our study concluded that laparoscopic donor nephrectomy showed advantages including less discomfort after surgery, a faster recovery period, and comparable results for graft function when compared to open live donor nephrectomy. These results imply that laparoscopic donor nephrectomy is a practical and well-liked procedure, which adds to its growing acceptance in the medical community.