Abstract：Objective:To investigate the clinical application of retroperitoneal laparoscopic live donor nephrectomy in relatives kidney transplantation, and to analyze its efficacy and security.Methods:A retrospective analysis was reported by 27 cases receiving laparoscopic living relative donor nephrectomy in our department from April 2009 to February 2013. Donors included 8 males and 19 females, and mean age was 45 years. Donor kidneys were removed from left kidney. The recipients included 22 males and 5 females with average age of 38 years old.Results:All 27 cases successfully underwent retroperitoneal laparoscopic donor nephrectomy, without intraoperative blood transfusion and significant complications. Postoperative hospital stay was 7.8 days (6-18days). Renal function of recipients returned to normal level for 7.4 days (3-15 days).No delayed graft function and acute rejection occurred.Conclusions:Retroperitoneal laparoscopic living donor nephrectomy had many advantages, including safety and reliablility, less bleeding, minimal injury,and more rapid recovery. This procedure is the preferred method to obtain living donor kidney.
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