scholarly journals Comparison of Surgical Techniques in Living Donor Nephrectomy: A Systematic Review and Bayesian Network Meta-Analysis

2020 ◽  
Vol 25 ◽  
Author(s):  
Qi Xiao ◽  
Biqi Fu ◽  
Keqin Song ◽  
Sufen Chen ◽  
Jianfeng Li ◽  
...  
Keyword(s):  
Systematic Review ◽  
Bayesian Network ◽  
Living Donor ◽  
Meta Analysis ◽  
Surgical Techniques ◽  
Donor Nephrectomy ◽  
Living Donor Nephrectomy

Laparoendoscopic single-site (LESS) vs laparoscopic living-donor nephrectomy: a systematic review and meta-analysis

2014 ◽  
Vol 115 (2) ◽  
pp. 206-215 ◽  
Author(s):  
Riccardo Autorino ◽  
Luis Felipe Brandao ◽  
Bashir Sankari ◽  
Homayoun Zargar ◽  
Humberto Laydner ◽  
...  
Keyword(s):  
Systematic Review ◽  
Living Donor ◽  
Meta Analysis ◽  
Donor Nephrectomy ◽  
Single Site ◽  
Laparoendoscopic Single Site ◽  
Living Donor Nephrectomy

scholarly journals Feasibility, Safety and Efficacy of Enhanced Recovery after Living Donor Nephrectomy: Systematic Review and Meta-Analysis of Randomized Controlled Trials

2020 ◽  
Vol 10 (1) ◽  
pp. 21
Author(s):  
Apostolos Prionas ◽  
Charles Craddock ◽  
Vassilios Papalois
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Living Donor ◽  
Enhanced Recovery ◽  
Meta Analysis ◽  
Donor Nephrectomy ◽  
Controlled Trials ◽  
Randomized Controlled ◽  
Living Donor Nephrectomy

This meta-analysis aims to compare enhanced recovery after surgery (ERAS) vs. standard perioperative practice in the management of living kidney donors. Primary endpoints included mortality, complications, length of stay (LOS) and quality of life after living donor nephrectomy. Medline, Embase, Scopus, Cochrane and Web of Science databases were searched. In total, 3029 records were identified. We then screened 114 full texts. Finally, 11 studies were included in the systematic review corresponding to 813 living donors. Of these, four randomized controlled trials were included in the meta-analysis. ERAS resulted in shorter LOS (95CI: −1.144, −0.078, I2 = 87.622%) and lower incidence of post-operative complications (95CI: 0.158, 0.582, I2 = 0%). This referred to Clavien–Dindo I-II complications (95CI: 0.158, 0.582, I2 = 0%). There was no difference in Clavien–Dindo III-V complications (95CI: 0.061,16.173, I2 = 0%). ERAS donors consumed decreased amounts of narcotics during their hospital stay (95CI: −27.694, −8.605, I2 = 0%). They had less bodily pain (95CI: 6.735, 17.07, I2 = 0%) and improved emotional status (95CI: 6.593,13.319, I2 = 75.682%) one month postoperatively. ERAS protocols incorporating multimodal pain control interventions resulted in a mean reduction of 1 day in donors’ LOS (95CI: −1.374, −0.763, I2 = 0%). Our results suggest that ERAS protocols result in reduced perioperative morbidity, shorter length of hospital stay and improved quality of life after living donor nephrectomy.

scholarly journals Living-donor nephrectomy at Singapore General Hospital: Evolution of surgical techniques over the last two decades

2020 ◽  
Vol 29 (4) ◽  
pp. 239-244
Author(s):  
Edwin Jonathan Aslim ◽  
Yun Le Linn ◽  
Xinyan Yang ◽  
Glenn Yang Han Ng ◽  
Chui Wan Lee ◽  
...  
Keyword(s):  
Living Donor ◽  
Operating Time ◽  
Surgical Techniques ◽  
Donor Nephrectomy ◽  
Surgical Morbidity ◽  
Living Donor Nephrectomy ◽  
Warm Ischaemia ◽  
Singapore General Hospital ◽  
The Mean ◽  
Time Periods

Background: Laparoscopic living-donor nephrectomy is the current epitome of living kidney donation surgery. We review our experience in living-donor nephrectomies over the last 19 years, transitioning from open surgery to hand-assisted laparoscopy to full laparoscopic techniques. Methods: We retrospectively identified all living-donor nephrectomies performed at our institution from 1976 to 2018. The donors were categorised according to surgical techniques: open (ODN), hand-assisted laparoscopy (HALDN) and full laparoscopy (LDN). We reviewed changes in donor demographics over the years. Surgical outcomes between groups were compared from 2000 to 2018. We also compared the outcomes of LDN between different time periods to evaluate our learning curve. Results: A total of 214 living-donor nephrectomies were performed between 2000 and 2018. The majority were left sided (93%) and had single renal artery anatomy (90%). There were 22 ODN, 20 HALDN and 163 LDN cases. The mean operating time was 84±43, 151±32 and 179±37 minutes for ODN, HALDN and LDN, respectively ( p<0.001). There were no statistically significant differences in mean warm ischaemia times ( p=0.921) and length of hospital stay ( p=0.114) between groups. The overall 30-day surgical morbidity rate was 9.3%, with a major complications rate of 0.9%. The mean warm ischaemia time for LDN was significantly different ( p<0.001) between time periods: 281±260, 184±94 and 140±42 seconds for the periods between 2005–2009, 2010–2014 and 2015–2018, respectively. Conclusion: This study confirms the safety of living-donor nephrectomies performed at our institution, a centre with a modest volume of kidney transplants.

scholarly journals Surgical techniques in living donor nephrectomy

Nephrology ◽  
2010 ◽  
Vol 15 ◽  
pp. S88-S95 ◽  
Author(s):  
Norma Gibbons ◽  
David Nicol
Keyword(s):  
Living Donor ◽  
Surgical Techniques ◽  
Donor Nephrectomy ◽  
Living Donor Nephrectomy
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