Abstract
In this study we focused on the quality of life and satisfaction of living kidney donors comparing traditional lumbar (LDN) and mini-incision donor nephrectomy (MIDN). From May 1996 to December 2002, 174 donor nephrectomies including 127 cases of LDN and 47 cases of MIDN were performed. Donors were evaluated using the SF-36 quality-of-life survey as well as a questionnaire dealing with donors‘ attitude towards kidney donation, financial burdens, pain, cosmetic satisfaction and duration of sick leave. Our donors achieved comparable or even higher scores in all the SF-36 categories in comparison to the general US population. Following MIDN, quality of life tended to be superior compared to that of LDN donors; however, statistical significance was reached only in one of the eight categories. Duration of sick leave following surgery was in favor of MIDN compared to LDN donors. Statistically significant differences favoring MIDN were observed regarding postoperative hospital stay and cosmetic satisfaction. The procedure would be again undergone by 94 of LDN and 97% of MIDN donors. Open-donor nephrectomy is a safe and cost-effective procedure. Introduction of the here-described MIDN has led to comparable or even improved results compared to LDN.
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Ratner LE, Kavoussi LR, Sroka M, Hiller J, Weber R, Schulam PG, Montgomery R (1997) Laparoscopic assisted live donor nephrectomy—a comparison with the open approach. Transplantation 63:229–233
Velidedeoglu E, Williams N, Brayman KL, Desai NM, Campos L, Palanjian M, Wocjik M, Bloom R, Grossman RA, Mange K, Barker CF, Naji A, Markmann JF (2002) Comparison of open, laparoscopic, and hand-assisted approaches to live-donor nephrectomy. Transplantation 74:169–172
Pace KT, Dyer SJ, Phan V, Stewart RJ, Honey RJ, Poulin EC, Schlachta CM, Mamazza J (2003) Laparoscopic versus open donor nephrectomy. Surg Endosc 17:134–142
Yang SL, Harkaway R, Badosa F, Ginsberg P, Greenstein MA (2002) Minimal incision living donor nephrectomy: improvement in patient outcome. Urology 59:673–677
Perry KT, Freedland SJ, Hu JC, Phelan MW, Kristo B, Gritsch AH, Rajfer J, Schulam PG (2003) Quality of life, pain and return to normal activities following laparoscopic donor nephrectomy versus open mini-incision donor nephrectomy. J Urol 169:2018–2021
Berney T, Malaise J, Mourad M, Morel P, Squifflet JP (2000) Laparoscopic and open live donor nephrectomy: a cost/benefit study. Transpl Int 13:35–40
Kercher KW, Heniford BT, Matthews BD, Smith TI, Lincourt AE, Hayes DH, Eskind LB, Irby PB, Teigland CM (2003) Laparoscopic versus open nephrectomy in 210 consecutive patients: outcomes, cost, and changes in practice patterns. Surg Endosc 17:1889–1895
Kumar A, Tripathi DM, Srivastava A (2003) Mini incision live donor nephrectomy: an optimal approach for the developing countries. Clin Transplant 17:498–502
Neipp M, Jackobs S, Becker T, Meyer zu Vilsendorf A, Winny M, Lueck R, Klempnauer J, Nashan B (2004) Living donor nephrectomy: flank incision versus anterior vertical mini-incision. Transplantation 78:1356–1361
Kuo PC, Johnson LB, Sitzmann JV (2000) Laparoscopic donor nephrectomy with a 23-hour stay: a new standard for transplantation surgery. Ann Surg 231:772–779
Ostraat O, Lonnroth H, Olausson M, Blohme I (2000) Experience with laparoscopic donor nephrectomy at a European transplant centre. Transpl Int 13:253–254
Giessing M, Deger S, Ebeling V, Roigas J, Turk I, Loening SA (2003) Laparoscopic transperitoneal donor nephrectomy. Technique and results. Urologe 42:218–224
Maartense S, Idu M, Bemelman FJ, Balm R, Surachno S, Bemelman WA (2004) Hand-assisted laparoscopic live donor nephrectomy. Br J Surg 91:344–348
Ruiz-Deya G, Cheng S, Palmer E, Thomas R, Slakey D (2001) Open donor, laparoscopic donor and hand assisted laparoscopic donor nephrectomy: a comparison of outcomes. J Urol 166:1270–1273
Philosophe B, Kuo PC, Schweitzer EJ, Farney AC, Lim JW, Johnson LB, Jacobs S, Flowers JL, Cho ES, Bartlett ST (1999) Laparoscopic versus open donor nephrectomy: comparing ureteral complications in the recipients and improving the laparoscopic technique. Transplantation 68:497–502
Nogueira JM, Cangro CB, Fink JC, Schweitzer E, Wiland A, Klassen DK, Gardner J, Flowers J, Jacobs S, Cho E, Philosophe B, Bartlett ST, Weir MR (1999) A comparison of recipient renal outcomes with laparoscopic versus open live donor nephrectomy. Transplantation 67:722-728
Lennerling A, Blohme I, Ostraat O, Lonroth H, Olausson M, Nyberg G (2001) Laparoscopic or open surgery for living donor nephrectomy. Nephrol Dial Transplant 16:383-386
Johnson EM, Anderson JK, Jacobs C, Suh G, Humar A, Suhr BD, Kerr SR, Matas AJ (1999) Long-term follow-up of living kidney donors: quality of life after donation. Transplantation 67:717-721
Lind MY, Liem YS, Bemelman WA, Dooper PM, Hop WC, Weimar W, Ijzermans JN (2003) Live donor nephrectomy and return to work: does the operative technique matter? Surg Endosc 17:591-595
Peters TG, Repper SM, Jones KW, Walker GW, Vincent M, Hunter RD (2000) Living kidney donation: recovery and return to activities of daily living. Clin Transplant 14:433-438
Ware JE, Snow KK, Kosinski M (1993) SF-36 health survey: manual and interpretation guide. New England Medical Center, The Health Institute, Boston
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Jackobs, S., Becker, T., Lück, R. et al. Quality of life following living donor nephrectomy comparing classical flank incision and anterior vertical mini-incision. World J Urol 23, 343–348 (2005). https://doi.org/10.1007/s00345-005-0008-4
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DOI: https://doi.org/10.1007/s00345-005-0008-4