Abstract

The aim of the present study was to compare laparoscopic and open living donor nephrectomy, based on the results from a single center. Methods: The present study was conducted at department of Urology, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India and there were 300 LDN performed including 200 LLDNs and 100 open living donor nephrectomies (OLDNs). Results: In the present study, 200 patients underwent in Laparoscopic nephrectomy and 100 underwent in Open nephrectomy. The preoperative glomerular filtration rate was similar (LLDN = 127.3 ± 34 mL/min vs OLDN = 124.6 ± 25 mL/min) between the donors for the two groups. The reasons for which the right kidney was chosen included number of arteries or veins, presence of cysts, size, presence of stones and a tortuous ureter, with the guiding principle being to always have the better kidney remain with the donor. There was no statistically significant difference between the LLDN and the OLDN groups regarding operating time, donor preoperative renal function, donor and recipient postoperative kidney function, delayed graft function or the incidence of major complications. There was a trend towards decreased operating room time as the years progressed and the experience accumulated. The number of conversions was a total of 12/200 (6%). Conclusion: LDN is a safe technique with accepted intraoperative and postoperative morbidity. It offers short hospital stay, better cosmesis and early convalescence. In experienced hands, it can effectively deal with various vascular and ureteral anomalies without compromising early graft function.

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