Hand-assisted retroperitoneoscopic donor nephrectomy offers more liberal use of right kidneys: Lessons learned from 565 cases - a retrospective single-center study
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CitationAkın, E. B., Barlas, İ. S. ve Dayangaç, M. (2021). Hand-assisted retroperitoneoscopic donor nephrectomy offers more liberal use of right kidneys: Lessons learned from 565 cases - a retrospective single-center study. Transplant International, 34(3), 445-454. https://dx.doi.org/10.1111/tri.13806
The introduction of laparoscopic donor nephrectomy caused a shift toward, left donor nephrectomy. Some centers report a significantly low rate of endoscopic right donor nephrectomy. Hand-assisted retroperitoneoscopic donor nephrectomy (HARP-DN) was introduced as a novel surgical technique, which aims to avoid intra-abdominal complications. It was also reported to provide technical advantages for right-sided DN. In this retrospective single-center study, we evaluated the impact of HARP-DN technique on utilization of right-sided DNs. After the implementation of HARP-DN on February 2009, a total of 565 DNs were performed until December 2015. The introduction of HARP-DN technique resulted in an immediate increase in the utilization of right kidneys from 6.1% to an average of 19.6% annually. The donors 'outcome was similar to the left-sided and right-sided DN groups, excluding the increased incidence of incisional hernias in left kidney donors. None of the donors developed intra-abdominal complications. In conclusion, the implementation of HARP technique significantly increased the use of right-sided DNs, which enables a more liberal use of donors in LDKT.