Original Paper

A Comparison of Kidney Retrieval Incisions in Laparoscopic Transperitoneal Donor Nephrectomy
Manu Gupta, Pratipal Singh, Deepak Dubey, Aneesh Srivastava, Rakesh Kapoor, Anant Kumar

Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India

Address of Corresponding Author

Urol Int 2008;81:296-300 (DOI: 10.1159/000151407)

  Key Words

• Kidney transplantation
• Laparoscopy
• Donor nephrectomy
• Retreival Incision

  Abstract

Objective: To compare the modified iliac fossa and Pfannenstiel incisions for retrieving the kidney in laparoscopic transperitoneal donor nephrectomy. Patients and Methods: Two different incisions for retrieving the donor kidney were studied from January 2002 to December 2006. A total of 343 laparoscopic transperitoneal donor nephrectomies were performed. 110 kidneys were removed via our modified iliac fossa incision and 233 kidneys were retrieved using a Pfannenstiel incision. The warm ischemia time, analgesic requirement and hospital stay were compared. Other parameters studied were the length of incisions, total number of incisions (port and retrieval), and complications associated with them. Results: The warm ischemia time (3 vs. 3.5 min), mean hospital stay (3.35 vs. 3.8 days) and analgesic requirement were comparable. The mean length of incisions was 5.8 vs. 7.3 cm, respectively, and this difference was found to be statistically significant. The total number of incisions (port and retrieval) was 4 when the iliac fossa incision was used, whereas it was 5 when the kidney was retrieved using a Pfannenstiel incision. Two patients had bladder injury and 1 patient had bowel injury while making the Pfannenstiel incision. There was less morbidity associated with the iliac fossa incision. Conclusion: The iliac fossa incision had less morbidity whereas the Pfannenstiel incision scored in terms of cosmesis.

Copyright © 2008 S. Karger AG, Basel

  Author Contacts

Prof. Dr. Aneesh Srivastava
Department of Urology and Renal Transplantation
Sanjay Gandhi Post Graduate Institute of Medical Sciences,
Lucknow, UP 226014 (India), Tel. +91 522 266 0000-8, ext. 2131
Fax +91 522 266 8017, E-Mail anees772000@yahoo.com

  Article Information

Received: July 2, 2007
Accepted: September 5, 2007
Published online: October 16, 2008
Number of Print Pages : 5
Number of Figures : 1, Number of Tables : 3, Number of References : 13