UNIQUE IN GREECE LAPAROSCOPIC APPROACH IN LIVING DONOR KIDNEY TRANSPLANTATION

Laparoscopic living donor kidney transplantation

 

Laparoscopic nephrectomy for kidney transplant has been established as a mainstream procedure both in Europe and the US because it allows donors to resume their daily activities very quickly.

In 2015 we performed the first laparoscopic living donor kidney transplant in a male patient following laparotomy. This 68-year-old patient had previously undergone surgery due to a car accident. Two 5mm trocars and one 10mm trocar were placed on the left midclavicular line, from the costal arch towards the anterior superior iliac spine and, a 10 mm trocar has been placed in the suprapubic area, which was replaced by a gelport for transplant removal.

Surgery lasted three hours. Warm ischemia time was three minutes.

The graft was immediately placed and the recipient had immediate diuresis with beginning of the renal function.

The postoperative course of the donor was unhindered and he was discharged from hospital on the fourth postoperative day.

The longstanding experience in organ transplantation, the latest laparoscopic techniques and the availability of state of the art facilities, such as cutting edge and fully equipped operating rooms have paved the way for the large scale application of laparoscopic nephrectomy protocols for living organ donors in Greece. The advantages presented by laparoscopic surgery are optimally applied on organ donors (kidney patient relatives), who, being healthy, make the ultimate gift of life donating an organ to save the life and improve the quality of life of other human beings. Postoperative pain is minimized, aesthetic results are excellent and donors rapidly resume their everyday activities.[/vc_column_text]

LAPAROSCOPIC NEPHRECTOMY FOR TRANSPLANTATION IN LIVING DONOR WITH PRIOR LAPAROTOMY