Hand-assisted laparoscopic donor nephrectomy for pediatric kidney allograft recipients

Dean Y. Kim; Mark D. Stegall; Mikel Prieto; George K. Chow; Humberto E. Bohorquez; Marco A. Covarrubias; Julie K. Heimbach; Bruce Z. Morgenstern; James M. Gloor; Dawn S. Milliner; Jody A. Weckwerth; Karla D. Weis; Michael B. Ishitani

doi:10.1111/j.1399-3046.2004.00195.x

Hand-assisted laparoscopic donor nephrectomy for pediatric kidney allograft recipients

Dean Y. Kim, Mark D. Stegall, Mikel Prieto, George K. Chow, Humberto E. Bohorquez, Marco A. Covarrubias, Julie K. Heimbach, Bruce Z. Morgenstern, James M. Gloor, Dawn S. Milliner, Jody A. Weckwerth, Karla D. Weis, Michael B. Ishitani

Research output: Contribution to journal › Article › peer-review

6 Scopus citations

Abstract

Laparoscopic donor nephrectomy (LDN) is the method of choice for procuring kidneys from living donors at many transplant centers. The aim of this study was to assess the feasibility as well as outcome of LDN in pediatric recipients. Twenty-two pediatric patients, 18-yr old or younger received kidneys procured by a hand-assisted LDN technique. The mean operative time was no different (p = 0.9) and the mean length of stay was more than 1 day shorter in the LDN group (p = 0.0001) compared with the 13 pediatric patients who received kidneys by standard open nephrectomy. Body mass index (BMI), number of donor kidney vessels, or laterality of the kidney did not impact the donor operation or outcome. Actuarial 1-yr patient survival was 100% and allograft survival was 95%, which are equivalent to registry data. There were no donor mortalities and there were five morbidities. None required hospitalization. There were no conversions from LDN to open nephrectomy. One kidney was lost because of overwhelming infection necessitating withdrawal of immunosuppression. In conclusion, hand-assisted LDN is a safe method of procuring kidneys from potential donors with no significant negative outcomes to the pediatric recipients.

Original language	English (US)
Pages (from-to)	460-463
Number of pages	4
Journal	Pediatric Transplantation
Volume	8
Issue number	5
DOIs	https://doi.org/10.1111/j.1399-3046.2004.00195.x
State	Published - Oct 2004

Keywords

Adolescent
Child
Donors
Kidney
Laparoscopy
Living
Transplantation

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Transplantation

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10.1111/j.1399-3046.2004.00195.x

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Kim, D. Y., Stegall, M. D., Prieto, M., Chow, G. K., Bohorquez, H. E., Covarrubias, M. A., Heimbach, J. K., Morgenstern, B. Z., Gloor, J. M., Milliner, D. S., Weckwerth, J. A., Weis, K. D., & Ishitani, M. B. (2004). Hand-assisted laparoscopic donor nephrectomy for pediatric kidney allograft recipients. Pediatric Transplantation, 8(5), 460-463. https://doi.org/10.1111/j.1399-3046.2004.00195.x

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abstract = "Laparoscopic donor nephrectomy (LDN) is the method of choice for procuring kidneys from living donors at many transplant centers. The aim of this study was to assess the feasibility as well as outcome of LDN in pediatric recipients. Twenty-two pediatric patients, 18-yr old or younger received kidneys procured by a hand-assisted LDN technique. The mean operative time was no different (p = 0.9) and the mean length of stay was more than 1 day shorter in the LDN group (p = 0.0001) compared with the 13 pediatric patients who received kidneys by standard open nephrectomy. Body mass index (BMI), number of donor kidney vessels, or laterality of the kidney did not impact the donor operation or outcome. Actuarial 1-yr patient survival was 100% and allograft survival was 95%, which are equivalent to registry data. There were no donor mortalities and there were five morbidities. None required hospitalization. There were no conversions from LDN to open nephrectomy. One kidney was lost because of overwhelming infection necessitating withdrawal of immunosuppression. In conclusion, hand-assisted LDN is a safe method of procuring kidneys from potential donors with no significant negative outcomes to the pediatric recipients.",

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doi = "10.1111/j.1399-3046.2004.00195.x",

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AU - Kim, Dean Y.

AU - Stegall, Mark D.

AU - Prieto, Mikel

AU - Chow, George K.

AU - Bohorquez, Humberto E.

AU - Covarrubias, Marco A.

AU - Heimbach, Julie K.

AU - Morgenstern, Bruce Z.

AU - Gloor, James M.

AU - Milliner, Dawn S.

AU - Weckwerth, Jody A.

AU - Weis, Karla D.

AU - Ishitani, Michael B.

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Hand-assisted laparoscopic donor nephrectomy for pediatric kidney allograft recipients

Abstract

Keywords

ASJC Scopus subject areas

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