EARLY RESULTS OF RIGHT LAPAROSCOPIC LIVING DONOR NEPHRECTOMY USING A SUBCOSTAL MINI-LAPAROTOMY AND LATERAL CLAMPING OF THE INFERIOR VENA CAVA
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Abstract
Objectives: To evaluate the early outcomes of right laparoscopic donor nephrectomyusing a subcostal mini-incision and lateral clamping of the inferior vena cava. Methods: A prospective study was conducted on 60 living kidney donors who underwent surgery at Military Hospital 103 from January 2024 to May 2025. Results: The mean age was 34.5 ± 16.7 years (22 - 59); the mean BMI was 23.7 ± 4.3. 10 cases had 2 renal arteries, and 6 had 2 renal veins. No major intraoperative complications were recorded. The average blood lost was 56.1 ± 34.01mL. The mean operative time was 90.1 ± 21.2 minutes (range 72 - 120). Urine output was observed immediately in 58/60 grafts. Graft function normalized in 59 recipients after 3 weeks. 1 patient had delayed function with discharge creatinine of 140 μmol/L. Conclusion: Right laparoscopic donor nephrectomy using a subcostal mini-incision and lateral IVC clamping is safe, feasible, and effective.
Keywords
Laparoscopic surgery, Right nephrectomy, Kidney transplantation
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References
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