Skip to main content

Extraction Incisions for Laparoscopic Donor Nephrectomy

  • Chapter
  • First Online:
Laparoscopic Donor Nephrectomy
  • 437 Accesses

Abstract

Laparoscopy has become the standard method for donor kidney extraction, since 1995 [1]. Graft extraction is one of the most critical steps in living donor nephrectomy. Extraction incision plays an important role in patient outcome. It has an impact on post-operative pain, wound complications and cosmesis. Moreover the process of extraction is a time-sensitive technique and can have a impact on ultimate graft function. Unlike other ablative laparoscopic procedures, it is imperative that the kidney has to be extracted without any damage to the graft. The extent and location of the incision can concede the inherent advantage laparoscopic procedures possess over the open technique. Over the years, surgeons have resorted to various techniques of extraction to reduce the morbidity and improve the safety profile.

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 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 54.99
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. Ratner LE, Ciseck LJ, RG M, et al. Laparoscopic live donor nephrectomy. Transplantation. 1995;60:1047–9.

    CAS  PubMed  Google Scholar 

  2. Kieran K, Roberts WW. Laparoscopic donor nephrectomy: an update. Curr Opin Nephrol Hypertens. 2005;14:599–603.

    Article  PubMed  Google Scholar 

  3. Romanelli JR, Kelly JJ, Litwin DE. Hand-assisted laparoscopic surgery in the United States: an overview. Semin Laparosc Surg. 2001;8:96–103.

    Article  CAS  PubMed  Google Scholar 

  4. Kocak B, Baker TB, Koffron AJ, et al. Laparoscopic living donor nephrectomy: a single-center sequential experience comparing hand-assisted versus standard technique. Urology. 2007;70:1060–3.

    Article  PubMed  Google Scholar 

  5. Wang GJ, Afaneh C, Aull M, et al. Laparoendoscopic single site live donor nephrectomy: single institution report of initial 100 cases. J Urol. 2011;186:2333–7.

    Article  PubMed  Google Scholar 

  6. Siqueira Jr TM, Mitre AI, FA S, et al. A cost-effective technique for pure laparoscopic live donor nephrectomy. Int Braz J Urol. 2006;32:23–8.

    Article  PubMed  Google Scholar 

  7. Gupta M, Singh P, Dubey D, et al. A comparison of kidney retrieval incisions in laparoscopic transperitoneal donor nephrectomy. Urol Int. 2008;81:296–300.

    Article  PubMed  Google Scholar 

  8. Kishore TA, Tarun BK, Shetty A, et al. Comparison of three different techniques of extraction in Laparoscopic donor nephrectomy. Indian J Urol. 2013;29(3):184–7.

    Article  Google Scholar 

  9. Amer T, Biju RD, Hutton R, et al. Laparoscopic nephrectomy – Pfannenstiel or expanded port site specimen extraction: a systematic review and meta-analysis. Cent Eur J Urol. 2015;68(3):322–9.

    Google Scholar 

  10. Tisdale BE, Kapoor A, Hussain A, et al. Intact specimen extraction in laparoscopic nephrectomy procedures: Pfannenstiel versus expanded port site incisions. Urology. 2007;69:241–4.

    Article  PubMed  Google Scholar 

  11. Su LM, Ratner LE, Montgomery RA, et al. Laparoscopic live donor nephrectomy: trends in donor and recipient morbidity following 381 consecutive cases. Ann Surg. 2004;240:358–63.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Alcaraz A, Peri L, Molina A, et al. Feasibility of transvaginal NOTES-assisted laparoscopic nephrectomy. Eur Urol. 2010;57:233–7.

    Article  PubMed  Google Scholar 

  13. Alcaraz A, Musquera M, Peri L, et al. Feasibility of transvaginal natural orifice transluminal endoscopic surgery assisted living donor nephrectomy: is kidney vaginal delivery the approach of the future? Eur Urol. 2011;59(6):1019–25.

    Article  PubMed  Google Scholar 

  14. Kishore TA, Shetty A, Balan T, et al. Laparoscopic donor nephrectomy with transvaginal extraction: initial experience of 30 cases. J Endourol. 2013;27(11):1361–5.

    Article  CAS  PubMed  Google Scholar 

  15. Adiyat KT, Shetty A, PK M, et al. Comparison of bacterial contamination between transvaginal-assisted laparoscopic donor nephrectomy and conventional donor nephrectomy. Clin Transpl. 2015;29(2):99–100.

    Article  Google Scholar 

  16. Aull MJ, Afaneh C, Charlton M, et al. A randomized, prospective, parallel group study of laparoscopic versus laparoendoscopic single site donor nephrectomy for kidney donation. Am J Transplant. 2014;14(7):1630–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. Andonian S, Herati AS, MA A, et al. Laparoendoscopic single-site pfannenstiel donor nephrectomy. Urology. 2010;75(1):9–12.

    Article  PubMed  Google Scholar 

  18. Dubey D, Shrinivas RP, Srikanth G. Transumbilical laparoendoscopic single-site donor nephrectomy: without the use of a single port access device. Indian J Urol. 2011;27:180–4.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to T. A. Kishore .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer Nature Singapore Pte Ltd.

About this chapter

Cite this chapter

Kishore, T.A. (2017). Extraction Incisions for Laparoscopic Donor Nephrectomy. In: Desai, M., Ganpule, A. (eds) Laparoscopic Donor Nephrectomy. Springer, Singapore. https://doi.org/10.1007/978-981-10-2849-6_11

Download citation

  • DOI: https://doi.org/10.1007/978-981-10-2849-6_11

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-10-2847-2

  • Online ISBN: 978-981-10-2849-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics