Hand-assisted Laparoscopic Left Donor Nephrectomy Without a Hand-assisted Device: Is it Possible?

• Published in: Transplantation proceedings Vol. 51; no. 10; pp. 3351 - 3354
• Main Authors: Karabay, Onder, Tasci, Hasan, Hasbahceci, Mustafa, Kadioglu, Huseyin
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.12.2019
• Subjects: Adult; Body Mass Index; Female; Hand-Assisted Laparoscopy - methods; Humans; Kidney - surgery; Kidney Transplantation - methods; Laparoscopy - methods; Length of Stay; Living Donors; Male; Middle Aged; Nephrectomy - methods; Postoperative Complications - surgery; Retrospective Studies; Tissue and Organ Harvesting - methods; Treatment Outcome; Warm Ischemia
• ISSN: 0041-1345; 1873-2623
• DOI: 10.1016/j.transproceed.2019.07.016

Live donor nephrectomy is an important donor source. Donor nephrectomy can be performed by laparoscopy or hand-assisted laparoscopy. Different types of hand port devices can be used for assistance. In the literature there are few studies about hand-assisted laparoscopy without a hand port. In this study, we aimed to evaluate the impact of not using a hand port for hand-assisted laparoscopic donor nephrectomy for kidney transplantation. Patients who were operated on for kidney donation between January 2011 and June 2018 evaluated retrospectively. The patients were divided into 2 groups: group A, on whom a hand port was used, and group B, whose surgeries did not involve a hand port. The groups were compared for sex, age, body mass index, amount of intraoperative bleeding, warm ischemia time, duration of surgery, perioperative complications, duration of hospital stay, and postoperative complications. There were 159 patients in group A and 146 patients in group B. There was no difference between the groups considering intraoperative bleeding, warm ischemia time, duration of surgery and postoperative early complications (P > .05 for all). Hand-assisted laparoscopic donor nephrectomy without a hand port can be considered an easy and effective method of laparoscopic nephrectomy. •Laparoscopic donor nephrectomy is a widely applied procedure in transplantation.•Hand-assisted laparoscopy has a few advantages.•Hand-assisted laparoscopic nephrectomy was performed on 305 patients with or without a hand port and there was no statistical difference in the outcomes.•Hand-assisted laparoscopic donor nephrectomy without a hand port can be considered an easy and effective method of laparoscopy.