{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T05:04:25Z","timestamp":1777525465511,"version":"3.51.4"},"reference-count":78,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2003,9,24]],"date-time":"2003-09-24T00:00:00Z","timestamp":1064361600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2003,10,27]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Living kidney donation represents an important source of organs for patients with end-stage renal failure. Over the past decade, laparoscopic donor nephrectomy has replaced the conventional open procedure in many transplant centres. Using evidence-based methods, this study examines the current status of laparoscopic donor nephrectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A Medline literature search (PubMed database, 1999\u20132002) and manual cross-referencing were performed to identify all articles relating to laparoscopic donor nephrectomy. Safety and efficacy criteria were analysed systematically for each study. Studies included were categorized using an evidence-based level grading system.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 687 publications, 20 studies with level I\u2013II evidence and 12 with level III evidence were analysed. Only one level I study could be identified. Level I and level II evidence suggests superiority of the laparoscopic approach in regard to postoperative analgesic consumption, hospital stay and return to work. Other safety and efficacy criteria, including donor and recipient outcomes, were similar between the two techniques.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Laparoscopic donor nephrectomy has gained community acceptance by physicians and patients over the past decade. Despite a lack of strong evidence, such as large prospective randomized studies, laparoscopic donor nephrectomy is likely to become the \u2018gold standard\u2019 for donor nephrectomy in the near future.<\/jats:p><\/jats:sec>","DOI":"10.1002\/bjs.4340","type":"journal-article","created":{"date-parts":[[2003,10,30]],"date-time":"2003-10-30T11:16:43Z","timestamp":1067512603000},"page":"1323-1332","source":"Crossref","is-referenced-by-count":58,"title":["Laparoscopic donor nephrectomy"],"prefix":"10.1093","volume":"90","author":[{"given":"A E","family":"Handschin","sequence":"first","affiliation":[{"name":"Department of Visceral and Transplant Surgery, University Hospital Zurich, Raemistrasse 100, CH-8091 Zurich, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Weber","sequence":"additional","affiliation":[{"name":"Department of Visceral and Transplant Surgery, University Hospital Zurich, Raemistrasse 100, CH-8091 Zurich, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N","family":"Demartines","sequence":"additional","affiliation":[{"name":"Department of Visceral and Transplant Surgery, University Hospital Zurich, Raemistrasse 100, CH-8091 Zurich, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P-A","family":"Clavien","sequence":"additional","affiliation":[{"name":"Department of Visceral and Transplant Surgery, University Hospital Zurich, Raemistrasse 100, CH-8091 Zurich, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2003,9,24]]},"reference":[{"key":"2021070911440115800_bib1","volume-title":"US Scientific Registry of Transplant Recipients and the Organ Procurement and Transplantation Network\u2014Transplant Data"},{"key":"2021070911440115800_bib2","doi-asserted-by":"crossref","first-page":"528","DOI":"10.1681\/ASN.V132528","article-title":"Management of the waiting list for cadaveric kidney transplants: report of a survey and recommendations by the Clinical Practice Guidelines Committee of the American Society of Transplantation","volume":"13","author":"Danovitch","year":"2002","journal-title":"J Am Soc Nephrol"},{"key":"2021070911440115800_bib3","volume-title":"Annual Data Report","author":"US Renal Data System, USRDS","year":"1994"},{"key":"2021070911440115800_bib4","doi-asserted-by":"crossref","first-page":"485","DOI":"10.1007\/s001200170013","article-title":"Laparoscopic living donor nephrectomy. 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