- Provides practical advice and up-to-date information on LDN
- Written by global experts working in renal transplant centers
- Serves as a quick reference guide for those who perform or intend to perform LDN
This book explains the development of various laparoscopic donor nephrectomy (LDN) techniques, which can be performed via the retroperitoneal or the transperitoneal approach. It provides a step-by-step explanation of LDN, including details of intricacies such as port positioning, dissection steps, securing the hilum and retrieval. It also reviews new techniques like robotic donor nephrectomy and single-port donor nephrectomy. Lastly, it explores the non-technical but equally important issues of donor work-up and legal and social aspects.
LDN is a unique surgical procedure in which the surgeon operates on an individual who is not a patient but someone donating out of altruistic motives, and it has to be “zero error” for the safety of the graft, donor and the recipient. This handbook is a valuable resource for urologists, general and transplant surgeons as well as anesthesiologists and medical social workers working in the field.
Table of Contents- 1. The evolution of laparoscopic donor nephrectomy. Is it a gold standard?
- 2. General and urologic evaluation for a suitable living donor nephrectomy
- 3. Psychological and legal issues with laparoscopic donor nephrectomy
- 4. Anesthesia preparation during laparoscopic donor nephrectomy
- 5. Left side laparoscopic donor nephrectomy MRD
- 6. Right side laparoscopic donor nephrectomy
- 7. The hilar control: staplers/clips or otherwise
- 8. Retroperitoneal laparoscopic donor nephrectomy
- 9. "The LESS approach" in laparoscopic donor nephrectomy
- 10. Robotic-assisted donor nephrectomy
- 11. Extraction incisions for laparoscopic donor nephrectomy
- 12. Trouble shooting in laparoscopic donor nephrectomy
- 13. Open donor nephrectomy: Indications, technical aspects in the era of minimally invasive Surgery