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2012 ; 10
(1
): 46-55
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Laparoscopic donor nephrectomy: The Middle East experience
#MMPMID26558004
Khauli RB
; Traboulsi SL
; Medawar W
; Abu Dargham R
; Abdelnoor AM
; Hussein MK
Arab J Urol
2012[Mar]; 10
(1
): 46-55
PMID26558004
show ga
OBJECTIVES: To summarize the experience of the Middle East in laparoscopic donor
nephrectomy (LDN), to discuss the associated advantages and salient problems, to
examine the learning curve encountered compared with that of the pioneering
centres in the West, and the contribution of the regional centres to the
worldwide experience. METHODS: We searched Medline and PubMed for all centres
performing LDN in the Middle East. Questionnaires were e-mailed to the regional
transplantation centres, and programme directors, and leading urological and
transplant surgeons were contacted by telephone. RESULTS: LDN in the Middle East
was first introduced in 2000; this approach has been pioneered and practised at
seven transplant centres within five countries in the region, and was restricted
to only three Arab countries, i.e. Lebanon, Egypt and Kuwait. Data collection
yielded a total of 888 procedures over one decade, representing only 2% of the
total of ?50,000 transplants during the same period. Despite variability of
accurate reporting the overall outcomes were similar to those of open DN. The
spectrum of complications was comparable to that from major centres in the USA
during their learning curve. CONCLUSIONS: The introduction of LDN in the Middle
East has been gratifying. The relative hesitancy in introducing LDN in the rest
of the Arab Middle East is multifaceted. The advantages conferred to the donor
underscore the need for further expansion of this approach for kidney retrieval.