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 journalArticle

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 languageEnglish (US)
Pages (from-to)460-463
Number of pages4
JournalPediatric Transplantation
Volume8
Issue number5
DOIs
StatePublished - Oct 1 2004

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Keywords

  • Adolescent
  • Child
  • Donors
  • Kidney
  • Laparoscopy
  • Living
  • Transplantation

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Transplantation

Cite this

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