Ruchin Patel, Vidya A Fleetwood, Subarna Bhusal, Chintalapati Varma, Krista L Lentine, Chandra Bhati
{"title":"活体供体肾切除术的非侵入性方法：最佳实践和创新。","authors":"Ruchin Patel, Vidya A Fleetwood, Subarna Bhusal, Chintalapati Varma, Krista L Lentine, Chandra Bhati","doi":"10.1007/s40472-025-00487-3","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose of review: </strong>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.</p><p><strong>Recent findings: </strong>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.</p><p><strong>Summary: </strong>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.</p>","PeriodicalId":36387,"journal":{"name":"Current Transplantation Reports","volume":"12 ","pages":""},"PeriodicalIF":1.6000,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12490746/pdf/","citationCount":"0","resultStr":"{\"title\":\"Non-invasive approaches to living donor nephrectomy: Best practices and innovations.\",\"authors\":\"Ruchin Patel, Vidya A Fleetwood, Subarna Bhusal, Chintalapati Varma, Krista L Lentine, Chandra Bhati\",\"doi\":\"10.1007/s40472-025-00487-3\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose of review: </strong>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.</p><p><strong>Recent findings: </strong>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.</p><p><strong>Summary: </strong>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.</p>\",\"PeriodicalId\":36387,\"journal\":{\"name\":\"Current Transplantation Reports\",\"volume\":\"12 \",\"pages\":\"\"},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2025-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12490746/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Current Transplantation Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1007/s40472-025-00487-3\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/9/28 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Current Transplantation Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s40472-025-00487-3","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/9/28 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"SURGERY","Score":null,"Total":0}
Non-invasive approaches to living donor nephrectomy: Best practices and innovations.
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.
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.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
