The Auckland experience with laparoscopic donor nephrectomy
Muthu, C.; McCall, J.; Windsor, J.; Harman, R.; Dittmer, I.; Smith, P.; Munn, S.
New Zealand Medical Journal 116(1178): U516
2003
ISSN/ISBN: 0028-8446 PMID: 12897884 Document Number: 558532
Aims: To examine the initial experience of laparoscopic donor nephrectomy (LDN) in New Zealand and compare it with open donor nephrectomy (ODN). Methods: All LDNs performed between June 2000 and June 2002 were reviewed. An equal number of ODNs were reviewed. Data were also collected on the recipients of the grafts. Key clinical data were prospectively collected; remaining data were collected by retrospectively reviewing patient charts. Auckland Hospital databases were accessed for costing analysis. Results: Thirty five cases of each procedure had been performed. There has been 100% LDN graft survival. There was no significant difference in graft function (serum creatinine) at one and 12 months (p = 0.25 and 0.35) between the two groups. There was no significant difference in donor morbidity (26% vs 31%, p = 0.59). LDN resulted in a shorter hospital stay (3 vs 6.5 days, p < 0.000 1) and convalescence period (3 vs 6 weeks, p < 0.0001). LDN was significantly more expensive (dollar sign13 357 vs dollar sign6713, p < 0.0001). Conclusions: LDN in the New Zealand setting provides effective grafts for renal transplant recipients and is safe for the donor. Advantages for the donor are a shorter hospital stay and convalescence period. The major disadvantage of LDN is its higher cost compared with ODN.