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Date Published: 10/12/2025
Abstract Views: 12
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DOI: 10.56535/jmpm.v50si4.1569
Issue
Vol. 50 No. si4 (2025): JOURNAL OF MILITARY PHARMACO-MEDICINE - SPECIAL ISSUE 12/2025
Section
Special issue celebrating the 75th anniversary of Military Hospital 103
How to Cite
Nguyen, P. V., Nguyen, N. A., Cao, Q. T., Dao, V. N., Le, D. N., & Nguyen, A. T. (2025). SURGERY FOR RIGHT LIVING DONOR NEPHRECTOMY: OPEN SURGERY OR LAPAROSCOPIC-ASSISTED APPROACH?. Journal of Military Pharmaco-medicine, 50(si4), 609-615. https://doi.org/10.56535/jmpm.v50si4.1569

SURGERY FOR RIGHT LIVING DONOR NEPHRECTOMY: OPEN SURGERY OR LAPAROSCOPIC-ASSISTED APPROACH?

Nguyen Phu Viet1, , Nhat An Nguyen1, Quyet Thang Cao1, Van Nhat Dao1, Dinh Nguyen Le1, Anh Tuan Nguyen1
1 Khoa Tiết niệu, Bệnh viện Quân y 103, Học viện Quân y

Main Article Content

Abstract

Objectives: To compare outcomes of right donor nephrectomy performed by open surgery and laparoscopic surgery, using a side-clamp technique on the IVC via a small subcostal incision. Methods: A prospective study was conducted on 100 living kidney donors (45 males, 55 females) from January 2024 to May 2025, including 40 open nephrectomies and 60 laparoscopic transperitoneal nephrectomies with a small subcostal incision for vascular control. Results: The mean age was 42.5 years in group 1 and 34.5 years in group 2. The mean BMI of group 1 and group 2 were 23.1 and 23.4, respectively. The mean operative time of group 1 (115 minutes) was longer than that of group 2 (90 minutes). The mean blood loss of group 1 (82mL) was larger than that of group 2 (56mL). The warm ischemia time of group 1 and group 2 was 2.5 and 3.2 minutes, respectively. Immediate graft urine output was observed in 100% patients in group 1 and 98.3% patients in group 2. Postoperative complications included 3 cases of wound infection and 1 case of bleeding in group 1, and 1 wound infection and 1 renal vein stenosis in group 2. The mean hospital stay was 8.2 days for group 1 and 6.5 days for group 2. Conclusion: Laparoscopic right donor nephrectomy using a side-clamp on the IVC through a small subcostal incision is safe and yields outcomes comparable to open surgery, with the advantages of shorter hospital stay and less surgical trauma.

Keywords

Right living donor nephrectomy, Open surgery, Laparoscopic surgery

Article Details

References

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