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Revista Colombiana de Cirugía
Print version ISSN 2011-7582On-line version ISSN 2619-6107
Abstract
SERRANO-ARDILA, Óscar Javier et al. Total laparoscopic nephrectomy for a living kidney donor: Characteristics and outcomes in a single center from Colombia. Case series. rev. colomb. cir. [online]. 2023, vol.38, n.4, pp.689-696. Epub Aug 30, 2023. ISSN 2011-7582. https://doi.org/10.30944/20117582.2339.
Abstract
Introduction.
Kidney transplant is the best treatment option for end-stage renal disease. However, the discrepancy between waiting lists and the availability of organs from cadaveric donation is well known. Organ transplantation with a living donor was implemented to increase the number of organs available. Since the introduction of minimally invasive techniques for nephrectomy, living donors have achieved figures close to 50% of transplants performed in many institutions due to the procedure’s benefits. In our country, the experiences described are from the hand-assisted technique. This is the first description after incorporating the laparoscopic procedure.
Methods.
A retrospective analysis of the characteristics and results of all patients undergoing nephrectomy to obtain a graft using a laparoscopic technique was carried at a single center in Cali, Colombia, from November 2019 to October 2022. The electronic medical records were reviewed to obtain the data.
Results.
Seventy-eight nephrectomies were performed to obtain a graft with a laparoscopic technique. The mean operating time was 152 minutes, the average bleeding was 12 cc, and the average hospital stay was 2.8 days. The complication rate was 7.6% (four patients with Clavien-Dindo I complication and two Clavien-Dindo IIIb patients). There were no cases of mortality.
Conclusions.
The laparoscopic technique is safe, with a low morbidity rate and excellent benefits.
Keywords : transplantation; kidney transplantation; tissue and organ procurement; nephrectomy; laparoscopy; chronic renal insufficiency.