Skip to main content

Difficulties in Laparoscopic and Robotic Living Donor Nephrectomy

  • Chapter
  • First Online:
Difficult Conditions in Laparoscopic Urologic Surgery

Abstract

End stage renal disease (ESRD) is a leading cause of morbidity and death among Americans and represents a significant financial burden to the health care system of the United States. Traditionally, renal replacement therapy has come in the form of hemodialysis or renal transplantation. Certainly, the latter is associated with not only significantly better longevity but also a tangibly improved quality of life. Unfortunately, the pervasiveness of hypertensive and diabetic nephropathy in the western culture has disproportionately exceeded the supply of available allografts. Within the context of this mounting shortage, the rate of deceased donor renal transplants has remained relatively stagnant. As a consequence, there exists a distinct and pressing need for increased accrual of living kidney donors. This chapter describes the technicalities and difficulties of the procedure.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 139.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 179.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Hoyert DL, Kung HC, Smith SL. Deaths: preliminary data for 2003. In:National Vital Statistic Reports, vol. 53, no. 15. Hyattsville, MD: National Center for Health Statistics; 2005.

    Google Scholar 

  2. Meier-Kriesche HU, Ojo AO, Port FK, et al. Survival improvement among patients with end-stage renal disease: trends over time for transplant recipients and wait-listed patients. J Am Soc Nephrol. 2001;12:1293.

    CAS  PubMed  Google Scholar 

  3. Wolfe RA, Ashby VB, Milford EL, et al. Comparison of mortality in all patients on dialysis, patients on dialysis awaiting transplantation, and recipients of a first cadaveric transplant. N Engl J Med. 1999;341:1725.

    Article  CAS  PubMed  Google Scholar 

  4. U.S. Renal Data System: USRDS 2004 Annual Data Report: Atlas of End-Stage Renal Disease in the United States. Bethesda, MD: National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases; 2004.

    Google Scholar 

  5. Sener A, Cooper M. Live donor nephrectomy for kidney transplantation. Nat Clin Pract Urol. 2008;5:203.

    Article  PubMed  Google Scholar 

  6. Barry JM. Open donor nephrectomy: current status. BJU Int. 2005;95:56.

    Article  PubMed  Google Scholar 

  7. Streem SB, Novick AC, Steinmuller DR, et al. Flank donor nephrectomy: efficacy in the donor and recipient. J Urol. 1989;141:1099.

    Article  CAS  PubMed  Google Scholar 

  8. Gill IS, Carbone JM, Clayman RV, et al. Laparoscopic live donor nephrectomy. J Endourol. 1994;8:143.

    Article  CAS  PubMed  Google Scholar 

  9. Ratner LE, Ciseck LJ, Moore RG, et al. Laparoscopic live donor nephrectomy. Transplantation. 1995;60:1047.

    CAS  PubMed  Google Scholar 

  10. Jacobs S, Cho E, Foster C, et al. Laparoscopic live donor nephrectomy: The University of Maryland 6-year experience. J Urol. 2004;171:47.

    Article  PubMed  Google Scholar 

  11. Sundaram CP, Martin GL, Guise A, et al. Complications after a 5-year experience with laparoscopic donor nephrectomy: the Indiana University experience. Surg Endosc. 2007;21:724.

    Article  CAS  PubMed  Google Scholar 

  12. National Kidney Foundation Annual Statistics. http://optn.transplant.hrsa.gov/.

  13. Simon SD, Castle EP, Ferrigni RG, et al. Complications of laparoscopic nephrectomy: the Mayo Clinic experience. J Urol. 2004;171:1447.

    Article  PubMed  Google Scholar 

  14. Bia MJ, Ramos EL, Danovich GM, et al. Evaluation of living renal donors: the current practice of U.S. transplant centers. Transplantation. 1995;60:322.

    Article  CAS  PubMed  Google Scholar 

  15. Kasiske BL, Cangro CB, Hariharan S, et al. The evaluation of renal transplantation candidates: clinical practice guidelines. Am J Transplant. 2001;2(Suppl 1):5.

    Article  Google Scholar 

  16. Kuo PC, Plotkin JS, Stevens S, et al. Outcomes of laparoscopic donor nephrectomy in obese patients. Transplantation. 2000;69:180.

    Article  CAS  PubMed  Google Scholar 

  17. Sundqvist P, Feuk U, Häggman M, et al. Hand-assisted retroperitoneoscopic live donor nephrectomy in comparison to open and laparoscopic procedures: a prospective study on donor morbidity and kidney function. Transplantation. 2004;78:147.

    Article  PubMed  Google Scholar 

  18. Pozniak MA, Lee FT. Computed tomographic angiography in the preoperative evaluation of potential renal transplant donors. Curr Opin Urol. 1999;9:165.

    Article  CAS  PubMed  Google Scholar 

  19. OH CK, Yoon SN, Lee BM, et al. Routine screening for the functional asymmetry of potential kidney donors. Transplant Proc. 2006;38:1971.

    Article  CAS  PubMed  Google Scholar 

  20. Posselt AM, Mahanty H, Kang SM, et al. Laparoscopic right donor nephrectomy: a large single center experience. Transplantation. 2004;78:1665.

    Article  PubMed  Google Scholar 

  21. Turk IA, Giessing M, Deger S, et al. Laparoscopic live right donor nephrectomy: a new technique with preservation of vascular length. Trans Proc. 2003;35:838.

    Article  CAS  Google Scholar 

  22. Tooher RL, Rao MM, Scott DF, et al. A systematic review of laparoscopic live-donor nephrectomy. Transplantation. 2004;78:404.

    Article  PubMed  Google Scholar 

  23. Manikandan R, Sundaram CP. Laparoscopic live-donor nephrectomy. BJU Int. 2006;97:1154.

    Article  PubMed  Google Scholar 

  24. Bhattu AS, Ganpule A, Sabnis RB, et al. Robot-assisted laparoscopic donor nephrectomy vs standard laparoscopic donor nephrectomy: a prospective randomized comparative study. J Endourol. 2015;29:1334.

    Article  PubMed  Google Scholar 

  25. Giacomoni A, Di Sandro S, Lauterio A, et al. Robotic nephrectomy for living donation: surgical technique and literature systematic review. Am J Surg. 2016;211:1135.

    Article  PubMed  Google Scholar 

  26. Monn MF, Gramm AR, Bahler CD, et al. Economic and utilization analysis of robot-assisted versus laparoscopic live donor nephrectomy. J Endourol. 2014;28:780.

    Article  PubMed  Google Scholar 

  27. Liu XS, Hadley WN, Maley WR, et al. Robotic-assistance does not enhance standard laparoscopic technique for right-sided donor nephrectomy. J Soc Laparoendosc Surg. 2012;16:202.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Wesley M. White MD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

White, W.M., Kaouk, J.H. (2018). Difficulties in Laparoscopic and Robotic Living Donor Nephrectomy. In: Al-Kandari, A., Ganpule, A., Azhar, R., Gill, I. (eds) Difficult Conditions in Laparoscopic Urologic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-52581-5_27

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-52581-5_27

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-52580-8

  • Online ISBN: 978-3-319-52581-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics