Muljibhai Patel Urological Hospital
An ISO 9001:2008 Certified Institute
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Donor Nephrectomy

What is it?

The altruistic donor is donating a kidney to save the life of the recipient suffering from end stage renal disease. The live donor is a normal person and not a ‘patient’ with disease. The donors deserve minimally invasive surgery so that there is rapid recovery and faster return to normal activities with better cosmesis.

How it is done?

It is done Using thin laparoscopic instruments and telescope through 3 to 4 laparoscopic ports placed through small 5 to 10 millimeter incisions with the patient in a lateral position the kidney is dissected out with utmost care. The dissection is made easy due to the superior magnified vision made possible through three-chip high definition camera attached to the telescope.

After completely and safely mobilizing the kidney from its adjacent vital structures like large blood vessels, bowel, adrenal gland and spleen the blood vessels to the kidney are clipped and the kidney is removed swiftly and safely through a pre-placed incision on the pubic hair line. The first laparoscopic live donor nephrectomy was done in a forty years old man in 1995. Laparoscopic donor nephrectomy is now accepted worldwide.

Benefits

Comparative studies with open donor nephrectomy have shown that laparoscopic donor nephrectomy removes some of the disincentives to live donation with decreased blood loss, shorter hospital stay, faster return to work, without compromising the outcome of the recipient graft function. It also results in a better post-operative quality of life compared to open.