Minimally Invasive Donor Nephrectomy For Transplantation – Review Of Surgical Management

A Kidney transplantation from a living donor is the best method of a renal replacement therapy. There are new, less invasive surgical techniques, which include videoscopic methods such as laparoscopy, retroperitoneoscopy with their modifications i.e. hand-assisted videoscopy, SILS, NOTES and robotic surgery. Videoscopy and robotic surgery are classified as minimally invasive techniques and are the future of kidney transplant surgery. In comparison to the open nephrectomy they are connected with less number of complications and very low risk of death, so this methods are in a group of surgeries safe for the donor. Besides, every donor is covered for a lifetime of medical control system. Videoscopy is commonly used and the robotic surgery is fast developing and becomes popular, because of many advantages, which does not have any other available method. The key objective is safety of the donor and that is very important thing to choice the most optimal surgical technique in a case of living donor nephrectomy. The aim of this publication is to sum up surgical management and techniques used in living organ donations to transplantation.

Authors: Rafal Kieszek, Michal Wszola, Piotr Domagala, Karolina Bednarska, Kalina Jędrzejko, Andrzej Berman, Magdalena Zięba, Marta Serwańska-Świętek, Jolanta Gozdowska, Jakub Drozdowski, Monika Bieniasz, Andrzej Chmura, Artur Kwiatkowski