Korean J Transplant.  2022 Nov;36(Supple 1):S214. 10.4285/ATW2022.F-3530.

Three-dimensional laparoscopic donor nephrectomy: single-center experience

• Mussin N
• Rysmakhanov M
• Sultangereyev Y

• KMID: 2535279
• DOI: http://doi.org/10.4285/ATW2022.F-3530

Abstract

Background
In the last years have been experience with three-dimensional-laparoscopy for the donor nephrectomy (3D-LDN). This is the report of first experience on hand-assisted 3D-LDN performed in the Kazakhstan within a single center.
Methods
From 2017 to 2020, 20 3D-LDN performed in our center. The technique of performing all 3D-LDN was typical. The donor kidney extracted from abdomen through a hand-port. When necessary, drainage left.
Results
The baseline characteristics of donors were statistically comparable (P>0.05). The donors were relatives of the recipients; all of them underwent left nephrectomy. During the 3D-LDN average warm ischemic time was 115±9.6 seconds; operative time was 181.2±35.0 minutes; volume of blood loss was 41±25.0 mL. There were no conversions to open surgery and major complications by Clavien-Dindo. The average drainage duration and postoperative hospitalization were 2.5–0.5 days.
Conclusions
The results of the first 3D-LDN experiment show encouraging results. With the subsequent increase in the num-ber of operations and experience, a more thorough analysis of the results will be required.