Laparoscopic Donor Nephrectomy with Terminal Hand Assisted Technique: Experience in 60 Donors and Recipients

Ahmed Reda; Mahmoud Magdy; Rabea Ahmed Gadelkareem; Ahmed Serag Safwat; Atef Mohammed Abdellatif; Hassan Aboulella; Nashwa Azoz; Paolo Fornara; Nasreldin Mohammed

doi:doi:10.11648/j.ijcu.20220601.16

Laparoscopic Donor Nephrectomy with Terminal Hand Assisted Technique: Experience in 60 Donors and Recipients

Ahmed Reda, Mahmoud Magdy, Rabea Ahmed Gadelkareem, Ahmed Serag Safwat, Atef Mohammed Abdellatif, Hassan Aboulella, Nashwa Azoz, Paolo Fornara, Nasreldin Mohammed

Published in International Journal of Clinical Urology (Volume 6, Issue 1)

Received: 11 January 2022 Accepted: 3 February 2022 Published: 16 February 2022

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Abstract

Introduction: The limitation of cadaveric organ donations and the rapidly increasing number of patients with end stage renal disease awaiting kidney transplantation made living kidney donation indispensable. An important contribution to the revolution in living nephrectomy technique is hand assisted donor nephrectomy. Herein, we report our experience in hand assisted donor nephrectomy technique and its effect on the graft outcome. Methods: During the period from January 2012 till December 2015, 60 cases of hand-assisted laparoscopic donor nephrectomies were performed including 35 females and 25 males with a median age of 46.3±11.6 years. Results: Our mean operative donors' time was 93±21.8 minutes, and mean warm ischemia time was 48±9.1 seconds. Donor hospitalization time was between 3 and 5 days (mean 4 days). Follow up of the graft function after one year revealed mean serum creatinine of 1.56±1.03 mg/dl, mean GFR of 39.8±10.9 ml/min/1.73m and renal Doppler resistive index of 0.62±0.15. Conclusion: Laparoscopic donor nephrectomy with terminal hand assisted technique is a minimally invasive surgery that may improve donor acceptance and can become the procedure of choice in the near future. Also this technique has a good outcome concerning both warm ischemia time and graft outcome.

Published in	International Journal of Clinical Urology (Volume 6, Issue 1)
DOI	10.11648/j.ijcu.20220601.16
Page(s)	23-26
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Renal Transplantation, Nephrectomy, Donor, Donor Nephrectomy, Laparoscopy, Hand Assisted

References

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[15]	Buell JF, Hanaway MJ, Potter SR, Cronin DC, Yoshida A, Munda R, et al. Hand-assisted laparoscopic living-donor nephrectomy as an alternative to traditional laparoscopic living-donor nephrectomy. Am J Transplant 2002; 2 (10): 983-8.
[16]	Kercher K, Dahl D, Harland R, Blute R, Gallagher K, Litwin D. Hand-assisted laparoscopic donor nephrectomy minimizes warm ischemia. Urology 2001; 58 (2): 152-6.
[17]	Hamza A, Wagner S, Weigand K, Loertzer H, Rettkowski O, Jurzcok A, et al. Transperitoneal, hand-assisted laparoscopic donor nephrectomy: surveillance of renal function by immune monitoring. Transplant Proc. 2008; 40 (4): 895-901.
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APA Style

Ahmed Reda, Mahmoud Magdy, Rabea Ahmed Gadelkareem, Ahmed Serag Safwat, Atef Mohammed Abdellatif, et al. (2022). Laparoscopic Donor Nephrectomy with Terminal Hand Assisted Technique: Experience in 60 Donors and Recipients. International Journal of Clinical Urology, 6(1), 23-26. https://doi.org/10.11648/j.ijcu.20220601.16

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ACS Style

Ahmed Reda; Mahmoud Magdy; Rabea Ahmed Gadelkareem; Ahmed Serag Safwat; Atef Mohammed Abdellatif, et al. Laparoscopic Donor Nephrectomy with Terminal Hand Assisted Technique: Experience in 60 Donors and Recipients. Int. J. Clin. Urol. 2022, 6(1), 23-26. doi: 10.11648/j.ijcu.20220601.16

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AMA Style

Ahmed Reda, Mahmoud Magdy, Rabea Ahmed Gadelkareem, Ahmed Serag Safwat, Atef Mohammed Abdellatif, et al. Laparoscopic Donor Nephrectomy with Terminal Hand Assisted Technique: Experience in 60 Donors and Recipients. Int J Clin Urol. 2022;6(1):23-26. doi: 10.11648/j.ijcu.20220601.16

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@article{10.11648/j.ijcu.20220601.16,
  author = {Ahmed Reda and Mahmoud Magdy and Rabea Ahmed Gadelkareem and Ahmed Serag Safwat and Atef Mohammed Abdellatif and Hassan Aboulella and Nashwa Azoz and Paolo Fornara and Nasreldin Mohammed},
  title = {Laparoscopic Donor Nephrectomy with Terminal Hand Assisted Technique: Experience in 60 Donors and Recipients},
  journal = {International Journal of Clinical Urology},
  volume = {6},
  number = {1},
  pages = {23-26},
  doi = {10.11648/j.ijcu.20220601.16},
  url = {https://doi.org/10.11648/j.ijcu.20220601.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcu.20220601.16},
  abstract = {Introduction: The limitation of cadaveric organ donations and the rapidly increasing number of patients with end stage renal disease awaiting kidney transplantation made living kidney donation indispensable. An important contribution to the revolution in living nephrectomy technique is hand assisted donor nephrectomy. Herein, we report our experience in hand assisted donor nephrectomy technique and its effect on the graft outcome. Methods: During the period from January 2012 till December 2015, 60 cases of hand-assisted laparoscopic donor nephrectomies were performed including 35 females and 25 males with a median age of 46.3±11.6 years. Results: Our mean operative donors' time was 93±21.8 minutes, and mean warm ischemia time was 48±9.1 seconds. Donor hospitalization time was between 3 and 5 days (mean 4 days). Follow up of the graft function after one year revealed mean serum creatinine of 1.56±1.03 mg/dl, mean GFR of 39.8±10.9 ml/min/1.73m and renal Doppler resistive index of 0.62±0.15. Conclusion: Laparoscopic donor nephrectomy with terminal hand assisted technique is a minimally invasive surgery that may improve donor acceptance and can become the procedure of choice in the near future. Also this technique has a good outcome concerning both warm ischemia time and graft outcome.},
 year = {2022}
}

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TY  - JOUR
T1  - Laparoscopic Donor Nephrectomy with Terminal Hand Assisted Technique: Experience in 60 Donors and Recipients
AU  - Ahmed Reda
AU  - Mahmoud Magdy
AU  - Rabea Ahmed Gadelkareem
AU  - Ahmed Serag Safwat
AU  - Atef Mohammed Abdellatif
AU  - Hassan Aboulella
AU  - Nashwa Azoz
AU  - Paolo Fornara
AU  - Nasreldin Mohammed
Y1  - 2022/02/16
PY  - 2022
N1  - https://doi.org/10.11648/j.ijcu.20220601.16
DO  - 10.11648/j.ijcu.20220601.16
T2  - International Journal of Clinical Urology
JF  - International Journal of Clinical Urology
JO  - International Journal of Clinical Urology
SP  - 23
EP  - 26
PB  - Science Publishing Group
SN  - 2640-1355
UR  - https://doi.org/10.11648/j.ijcu.20220601.16
AB  - Introduction: The limitation of cadaveric organ donations and the rapidly increasing number of patients with end stage renal disease awaiting kidney transplantation made living kidney donation indispensable. An important contribution to the revolution in living nephrectomy technique is hand assisted donor nephrectomy. Herein, we report our experience in hand assisted donor nephrectomy technique and its effect on the graft outcome. Methods: During the period from January 2012 till December 2015, 60 cases of hand-assisted laparoscopic donor nephrectomies were performed including 35 females and 25 males with a median age of 46.3±11.6 years. Results: Our mean operative donors' time was 93±21.8 minutes, and mean warm ischemia time was 48±9.1 seconds. Donor hospitalization time was between 3 and 5 days (mean 4 days). Follow up of the graft function after one year revealed mean serum creatinine of 1.56±1.03 mg/dl, mean GFR of 39.8±10.9 ml/min/1.73m and renal Doppler resistive index of 0.62±0.15. Conclusion: Laparoscopic donor nephrectomy with terminal hand assisted technique is a minimally invasive surgery that may improve donor acceptance and can become the procedure of choice in the near future. Also this technique has a good outcome concerning both warm ischemia time and graft outcome.
VL  - 6
IS  - 1
ER  -

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Author Information

Ahmed Reda

Urology Department, Assiut University, Assiut, Egypt
Mahmoud Magdy

Urology Department, Assiut University, Assiut, Egypt
Rabea Ahmed Gadelkareem

Urology Department, Assiut University, Assiut, Egypt
Ahmed Serag Safwat

Urology Department, Assiut University, Assiut, Egypt
Atef Mohammed Abdellatif

Urology Department, Assiut University, Assiut, Egypt
Hassan Aboulella

Urology Department, Assiut University, Assiut, Egypt
Nashwa Azoz

Internal Medicine Department (Nephrology Unit), Assiut University, Assiut, Egypt
Paolo Fornara

Urology and Renal Transplantation Department, Martin Luther University, Halle (Saale), Germany
Nasreldin Mohammed

Urology Department, Assiut University, Assiut, Egypt

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APA Style

Ahmed Reda, Mahmoud Magdy, Rabea Ahmed Gadelkareem, Ahmed Serag Safwat, Atef Mohammed Abdellatif, et al. (2022). Laparoscopic Donor Nephrectomy with Terminal Hand Assisted Technique: Experience in 60 Donors and Recipients. International Journal of Clinical Urology, 6(1), 23-26. https://doi.org/10.11648/j.ijcu.20220601.16

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ACS Style

Ahmed Reda; Mahmoud Magdy; Rabea Ahmed Gadelkareem; Ahmed Serag Safwat; Atef Mohammed Abdellatif, et al. Laparoscopic Donor Nephrectomy with Terminal Hand Assisted Technique: Experience in 60 Donors and Recipients. Int. J. Clin. Urol. 2022, 6(1), 23-26. doi: 10.11648/j.ijcu.20220601.16

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AMA Style

Ahmed Reda, Mahmoud Magdy, Rabea Ahmed Gadelkareem, Ahmed Serag Safwat, Atef Mohammed Abdellatif, et al. Laparoscopic Donor Nephrectomy with Terminal Hand Assisted Technique: Experience in 60 Donors and Recipients. Int J Clin Urol. 2022;6(1):23-26. doi: 10.11648/j.ijcu.20220601.16

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@article{10.11648/j.ijcu.20220601.16,
  author = {Ahmed Reda and Mahmoud Magdy and Rabea Ahmed Gadelkareem and Ahmed Serag Safwat and Atef Mohammed Abdellatif and Hassan Aboulella and Nashwa Azoz and Paolo Fornara and Nasreldin Mohammed},
  title = {Laparoscopic Donor Nephrectomy with Terminal Hand Assisted Technique: Experience in 60 Donors and Recipients},
  journal = {International Journal of Clinical Urology},
  volume = {6},
  number = {1},
  pages = {23-26},
  doi = {10.11648/j.ijcu.20220601.16},
  url = {https://doi.org/10.11648/j.ijcu.20220601.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcu.20220601.16},
  abstract = {Introduction: The limitation of cadaveric organ donations and the rapidly increasing number of patients with end stage renal disease awaiting kidney transplantation made living kidney donation indispensable. An important contribution to the revolution in living nephrectomy technique is hand assisted donor nephrectomy. Herein, we report our experience in hand assisted donor nephrectomy technique and its effect on the graft outcome. Methods: During the period from January 2012 till December 2015, 60 cases of hand-assisted laparoscopic donor nephrectomies were performed including 35 females and 25 males with a median age of 46.3±11.6 years. Results: Our mean operative donors' time was 93±21.8 minutes, and mean warm ischemia time was 48±9.1 seconds. Donor hospitalization time was between 3 and 5 days (mean 4 days). Follow up of the graft function after one year revealed mean serum creatinine of 1.56±1.03 mg/dl, mean GFR of 39.8±10.9 ml/min/1.73m and renal Doppler resistive index of 0.62±0.15. Conclusion: Laparoscopic donor nephrectomy with terminal hand assisted technique is a minimally invasive surgery that may improve donor acceptance and can become the procedure of choice in the near future. Also this technique has a good outcome concerning both warm ischemia time and graft outcome.},
 year = {2022}
}

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TY  - JOUR
T1  - Laparoscopic Donor Nephrectomy with Terminal Hand Assisted Technique: Experience in 60 Donors and Recipients
AU  - Ahmed Reda
AU  - Mahmoud Magdy
AU  - Rabea Ahmed Gadelkareem
AU  - Ahmed Serag Safwat
AU  - Atef Mohammed Abdellatif
AU  - Hassan Aboulella
AU  - Nashwa Azoz
AU  - Paolo Fornara
AU  - Nasreldin Mohammed
Y1  - 2022/02/16
PY  - 2022
N1  - https://doi.org/10.11648/j.ijcu.20220601.16
DO  - 10.11648/j.ijcu.20220601.16
T2  - International Journal of Clinical Urology
JF  - International Journal of Clinical Urology
JO  - International Journal of Clinical Urology
SP  - 23
EP  - 26
PB  - Science Publishing Group
SN  - 2640-1355
UR  - https://doi.org/10.11648/j.ijcu.20220601.16
AB  - Introduction: The limitation of cadaveric organ donations and the rapidly increasing number of patients with end stage renal disease awaiting kidney transplantation made living kidney donation indispensable. An important contribution to the revolution in living nephrectomy technique is hand assisted donor nephrectomy. Herein, we report our experience in hand assisted donor nephrectomy technique and its effect on the graft outcome. Methods: During the period from January 2012 till December 2015, 60 cases of hand-assisted laparoscopic donor nephrectomies were performed including 35 females and 25 males with a median age of 46.3±11.6 years. Results: Our mean operative donors' time was 93±21.8 minutes, and mean warm ischemia time was 48±9.1 seconds. Donor hospitalization time was between 3 and 5 days (mean 4 days). Follow up of the graft function after one year revealed mean serum creatinine of 1.56±1.03 mg/dl, mean GFR of 39.8±10.9 ml/min/1.73m and renal Doppler resistive index of 0.62±0.15. Conclusion: Laparoscopic donor nephrectomy with terminal hand assisted technique is a minimally invasive surgery that may improve donor acceptance and can become the procedure of choice in the near future. Also this technique has a good outcome concerning both warm ischemia time and graft outcome.
VL  - 6
IS  - 1
ER  -

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