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Hemodialysis is performed
for several hours several
times per week. Patients
go to dialysis centers or
hospitals where special
doctors called
nephrologists treat them.
The patient is connected to
a machine which removes
the blood, cleans it, and
then returns it to the
patients body.
Hemodialysis
of a healed open
incision which
was used to
obtain the kidney
to be
transplanted
Kidney Transplant
A good example of
the healed incisions
after a laparoscopic
surgery to obtain
the kidney to be
donated. Notice the
significant difference
in the incision size
and the better
cosmetic
Incisions from surgery to donate
kidney
appearance.
How is laparoscopic donor nephrectomy
performed?
• Using a video camera system and
telescope, small incisions are made
allowing specially trained surgeons to
remove a viable functioning kidney from
a living donor.
• The procedure can be performed either
completely laparoscopically or hand-
assisted (use of a small incision to
insert the hand into the abdominal
cavity).
Is it safe to remove someone’s kidney?
The hand-assisted
technique allow the ½ Inch
Incisions
surgeon to place his
hand inside the
abdomen (belly) to
assist with the 3 Inch
surgery. Incision
Hand-assisted laparoscopic donor
nephrectomy
In addition, donors
will have to undergo
tests to determine
the anatomy of the
blood supply to their
kidney. This will
usually be a special
MRI, but can be a
CAT scan or an MRI angiogram of the renal
arteriogram blood vessels
What preparation is necessary to donate a
kidney?
• Wound infection
• Wound hernia (bulge)
• Wound seroma (fluid collection)
• Bleeding
• Bowel obstruction and internal adhesions
• Conversion to open procedure
• Injury to an organ in the abdomen (spleen,
colon, etc)
• Very small chance of death (< 0.1%)
If you have any questions or
concerns about laparoscopic
donor nephrectomy…….
THANK YOU