Non-invasive approaches to living donor nephrectomy: Best practices and innovations.

IF 1.6 Q2 SURGERY

Current Transplantation Reports Pub Date : 2025-12-01 Epub Date: 2025-09-28 DOI:10.1007/s40472-025-00487-3

Ruchin Patel, Vidya A Fleetwood, Subarna Bhusal, Chintalapati Varma, Krista L Lentine, Chandra Bhati

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引用次数: 0

Abstract

Purpose of review: Living donor nephrectomy is a cornerstone of kidney transplantation. Minimally invasive approaches offer reduced morbidity and faster recovery over open techniques. The purpose of this review is to elucidate recent advances and best practices in minimally invasive living donor nephrectomy procedures.

Recent findings: Although robotic living donor nephrectomies have longer operative and warm ischemia times compared to the open and laparoscopic techniques, early and late graft function including graft survival are comparable in the open, robotic and laparoscopic groups. Enhanced recovery after surgery (ERAS) protocols are increasingly being used to improve perioperative outcomes.

Summary: This review focuses on the innovation of minimally invasive approaches to living donor nephrectomy over time and highlights the best practices during donor selection and the choice of surgical technique.

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活体供体肾切除术的非侵入性方法：最佳实践和创新。

回顾目的：活体供肾切除术是肾移植的基石。微创入路比开放入路发病率低，恢复快。本综述的目的是阐明微创活体肾切除术的最新进展和最佳实践。最近的研究发现：尽管与开放和腹腔镜技术相比，机器人活体供肾切除术的手术时间和热缺血时间更长，但开放、机器人和腹腔镜组的早期和晚期移植物功能（包括移植物存活）相当。增强术后恢复（ERAS）协议越来越多地用于改善围手术期预后。摘要：本文综述了近年来微创活体肾切除术方法的创新，并强调了在供体选择和手术技术选择方面的最佳实践。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Transplantation Reports Medicine-Surgery

CiteScore

3.40

自引率

4.80%

发文量

期刊介绍： Under the guidance of Dr. Dorry Segev, from Johns Hopkins, Current Transplantation Reports will provide an in-depth review of topics covering kidney, liver, and pancreatic transplantation in addition to immunology and composite allografts.We accomplish this aim by inviting international authorities to contribute review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. By providing clear, insightful balanced contributions, the journal intends to serve those involved in the field of transplantation.