Abstract:

Objective      To discuss the safety and practicability of the laparoscopic-assisted small incision live donor nephrectomy mode. Methods      Clinical data of 15 healthy kidney donors who adopted laparoscopic-assisted small incision for live donor nephrectomy were retrospectively analyzed in the  General Hospital of the Jinan Military Region from December 2007 to June 2009. Results     15 operations were successful, with the renal warm ischemia time being (40±15) s and the average operation time for donor kidney harvesting being 65 (50 to 85) min. Bleeding during operation was (50±20) mL and the average urination time after kidney opening blood flow was 1min. Transplanted kidney function return to normal time was 2 to 3 days. The serum creatinine level was (110±30) umol / L. The incision drainage intubated time was 1 to 3 days, and the postoperative hospital stay time was 5 to 6 days. Conclusion     Laparoscopic-assisted small incision live donor nephrectomy needs no pneumoperitoneum, has the characteristics of less trauma, shorter operation time, sooner recovery, higher security and availability, combines the advantages of laparoscopic and open surgeries, and has an excellent economical feature.

Key words:  Living donor; Laparoscopy, small incision