Laparoscopic Living Donor Nephrectomy at a Nigerian Kidney Transplant Center

Authors

Keywords:

Laparoscopic, Nephrectomy, Donor, Surgery

Abstract

Kidney transplantation is the best treatment option for patients with end-stage renal disease, with better survival rates. Laparoscopic donor nephrectomy, which is a surgical advancement from the open donor nephrectomy, was first performed in 1995 and was found to have a better cosmetic outcome, shorter hospitalization, with similar quality of allograft when compared to those harvested by open donor nephrectomy. We commenced laparoscopic donor nephrectomy in 2022 at Zenith Medical and Kidney Center, Abuja, Nigeria, and hereby present the case series of the three patients operated on so far. Laparoscopic donor nephrectomy is a welcomed surgical procedure with improved patient satisfaction after surgery and better cosmetic outcomes. Renal function after recipient surgery is also satisfactory.     

Downloads

Download data is not yet available.

References

1. Guler S, Cimen S, Hurton S, Molinari M. Risks and benefits of early catheter removal after renal transplantation. Transplant Proc, 2015;47:2855-9. https://doi.org/10.1016/j.transproceed.2015.10.032

2. Cimen S, Guler S, Alwayn I, Lawen J, Kiberd B. Correlation of surgical times with laparoscopic live donor kidney transplant outcomes. Open J Organ Transpl Surg, 2013; 3: 68-72. https://doi.org/10.4236/ojots.2013.34014

3. Ratner LE, Ciseck LJ, Moore RG, Cigarrua FG, Kaufman HS, Kavoussi LR. Laparoscopic live donor nephrectomy. Transplantation. 1995; 60:1047-9. Available at: https://pubmed.ncbi.nlm.nih.gov/7491680/

4. Ratner LE, Kavoussi LR, Sroka M, Hiller J, Weber R, Schulam PG, et al. Laparoscopic assisted live donor nephrectomy A comparison with the open approach. Transplantation. 1997; 63: 229-33. Available at: https://journals.lww.com/transplantjournal/abstract/1997/01270/laparoscopic_assisted_live_donor_nephrectomy___a.9.aspx

5. Ratner LE, Hiller J, Sroka M, Weber R, Sikorsky I, Montgomery RA, et al. Laparoscopic live donor nephrectomy removes disincentives to live donation. Transplant Proc, 1997; 29: 3402. https://doi.org/10.1016/S0041-1345(97)00955-X

6. Ratner LE, Kavoussi LR, Schulam PG, Bender JS, Magnuson TH, Montgomery R. Comparison of laparoscopic live donor nephrectomy versus the standard open approach. Transplant Proc, 1997; 29: 138. https://doi.org/10.1016/S0041-1345(96)00037-1

7. Flowers JC, Jacobs S, Cho E, Morton A, Rosenberger WF, Evans D, et al. Comparison of open and laparoscopic live donor nephrectomy. Ann Surg. 1997; 226:483-90. Available at: https://journals.lww.com/annalsofsurgery/abstract/1997/10000/comparison_of_open_and_laparoscopic_live_donor.9.aspx

8. Leow CK. Comment on “laparoscopic-assisted live donor nephrectomy: a comparison with the open approach.” Transplantation. 1997; 64: 1222. Available at: https://journals.lww.com/transplantjournal/fulltext/1997/10270/comment_on__laparoscopic_assisted_live_donor.30.aspx

9. Harman PK, Kron IL, Mclachlan HD, Freedlender AE, Nolan SP. Elevated intra-abdominal pressure and renal function. Ann Surg, 1982; 196: 594. https://doi.org/10.1097/00000658-198211000-00015

10. London E, Neuhaus A, Ho H, Wolfe B, Rudich S, Perez R. Beneficial effect of volume expansion on the altered renal hemodynamics of prolonged pneumoperitoneum 24th Annual Scientific Meeting of the American Society of Transplant Surgeons; 1998; Chicago, IL.

11. Kirsch AJ, Kayton ML, Hensle TW, Olsson CA, Chang DT, Sawczuk IS. Renal effects of CO2 insufflation: oliguria and renal dysfunction in a rat pneumoperitoneum model. Urology. 1994; 43: 453. Available at: https://www.sciencedirect.com/science/article/abs/pii/0090429594902305

12. Shoskes DA, Parfrey NA, Hauoran PF. Increased major histocompatibility complex antigen expression in unilateral ischaemic acute tubular necrosis in the mouse. Transplantation. 1990; 49: 201. https://doi.org/10.1097/00007890-199001000-00045

13. Ibrahim S, Jakobs F, Zukin Y, Enriquez D, Holt D, Baldwin W, et al. Immunohistochemical manifestations of unilateral kidney ischaemia. Clin Transpl, 1996; 10: 646. Available at: https://pubmed.ncbi.nlm.nih.gov/8996759/

Published

2025-10-03

How to Cite

1.
Onwuasoanya U, Olatise O, Agrawal R, Ekwuazi H, Uyobong B, Olorunfemi P, et al. Laparoscopic Living Donor Nephrectomy at a Nigerian Kidney Transplant Center. bjt [Internet]. 2025 Oct. 3 [cited 2025 Oct. 5];28. Available from: https://bjt.emnuvens.com.br/revista/article/view/715

Issue

Section

Case Report