Laparoscopic adult donor nephrectomy for pediatric renal transplantation

• Published in: Urology (Ridgewood, N.J.) Vol. 61; no. 2; pp. 320 - 322
• Main Authors: Hsu, Thomas H.S, Su, L.i-Ming, Trock, Bruce J, Ratner, Lloyd E, Colombani, Paul, Kavoussi, Louis R
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.02.2003; Elsevier Science
• Subjects: Adolescent; Adult; Age Factors; Biological and medical sciences; Body Weight; Child; Child, Preschool; Graft Survival; Humans; Kidney Transplantation - methods; Laparoscopy - methods; Living Donors; Medical sciences; Nephrectomy - methods; Retrospective Studies; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the urinary system; Tissue and Organ Harvesting - methods; Transplantation, Homologous; Treatment Outcome; Human; Kidney disease; Urinary system disease; Transplantation; Laparoscopy; Homotransplantation; Kidney; Treatment; Donor; Nephrectomy; Surgery; Renal failure; Adult; Endoscopy; Technique; Child; Organ
• ISSN: 0090-4295; 1527-9995
• DOI: 10.1016/S0090-4295(02)02122-2

To evaluate retrospectively our laparoscopic adult donor nephrectomy experience for pediatric transplantation. Since February 1995, 7 adult donors have undergone laparoscopic donor nephrectomy for pediatric renal transplantation (recipients younger than 18 years and weighing less than 30 kg). The outcomes of these donors and pediatric recipients were evaluated. The 7 laparoscopic renal donors had a median operative time of 306 minutes, median allograft warm ischemia time of 275 seconds, median blood loss of 200 mL, median hospital stay of 3 days, and 14.2% overall complication rate. No graft loss or patient mortality occurred. The pediatric recipients of the laparoscopic live-donor allografts had a median creatinine clearance level of 52.1, 52.1, 44, and 41.1 mL/min at 3, 6, 12, and 18 months, respectively. The overall complication rate was 14.2%. The 1 and 2-year graft survival rates were 100%. No mortality occurred in the pediatric recipients. Laparoscopic donor nephrectomy is well tolerated by the adult donors and appears to provide acceptable recipient and allograft outcomes in the pediatric population.