{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T13:05:53Z","timestamp":1778677553781,"version":"3.51.4"},"reference-count":19,"publisher":"SAGE Publications","issue":"2_suppl","license":[{"start":{"date-parts":[[2021,9,1]],"date-time":"2021-09-01T00:00:00Z","timestamp":1630454400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Endourology"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:p>\n                    Minimally invasive approaches for laparoscopic donor nephrectomy are necessary to limit surgical morbidity, and technical challenges differ from those encountered during other laparoscopic renal surgeries. Presented here is a step-by-step guide for laparoscopic donor nephrectomy\u2014focusing on pure laparoscopic and hand-assisted techniques. Both straight laparoscopic and hand-assisted nephrectomies were performed in healthy donors who met transplantation criteria in terms of global health and psychologic well-being. Patient positioning, trocar placement, surgical steps, incision closure, and postoperative care are reviewed. Standard equipment used to complete this procedure is itemized. This guide outlines indications, preoperative preparation, and procedural steps for laparoscopic donor nephrectomy. The techniques and the evolution thereof represent our experience since 2002 for 510 cases. The attached videos demonstrate a high-volume surgeon's\n                    <jats:italic toggle=\"yes\">typical<\/jats:italic>\n                    approach while factoring in anatomical variation. In both cases, the donor nephrectomies were without incident and the patient's postoperative courses were without complication. A basic framework for donor nephrectomy is presented highlighting surgical steps we believe to be essential for graft preservation and ultimately effective transplantation. Although no two cases are the same, systematic approaches will allow for timely case completion, fewer complications, and better donor\/recipient outcomes.\n                  <\/jats:p>","DOI":"10.1089\/end.2021.0227","type":"journal-article","created":{"date-parts":[[2021,9,9]],"date-time":"2021-09-09T14:51:03Z","timestamp":1631199063000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Procedure: Laparoscopic Donor Nephrectomy"],"prefix":"10.1177","volume":"35","author":[{"given":"Jason M.","family":"Farrow","sequence":"first","affiliation":[{"name":"Department of Urology, Indiana University Health, Indianapolis, Indiana, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"Jr.","given":"Ruben","family":"Vasquez","sequence":"additional","affiliation":[{"name":"Department of Urology, Indiana University Health, Indianapolis, Indiana, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jason L.","family":"Zappia","sequence":"additional","affiliation":[{"name":"Department of Urology, Indiana University School of Medicine, Indianapolis, Indiana, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amitha C.","family":"Sundaram","sequence":"additional","affiliation":[{"name":"Department of Urology, Indiana University School of Medicine, Indianapolis, Indiana, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asif A.","family":"Sharfuddin","sequence":"additional","affiliation":[{"name":"Department of Urology, Indiana University School of Medicine, Indianapolis, Indiana, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John A.","family":"Powelson","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Transplantation, Indiana University School of Medicine, Indianapolis, Indiana, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William C.","family":"Goggins","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Transplantation, Indiana University School of Medicine, Indianapolis, Indiana, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chandru P.","family":"Sundaram","sequence":"additional","affiliation":[{"name":"Department of Urology, Indiana University School of Medicine, Indianapolis, Indiana, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,9,1]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"Lenihan CR Busque S Tan JC. Clinical Management of the Adult Kidney Transplant Recipient. Philadelphia PA: Elsevier 2020."},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00423-018-1700-3"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0000000000001327"},{"key":"e_1_3_3_5_2","unstructured":"Bishoff JT Kavoussi LR. Atlas of Laparoscopic and Robotic Urologic Surgery Third Edition. Philadelphia PA: Elsevier 2017."},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.asjsur.2018.06.001"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007890-198712000-00012"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198502000-00020"},{"key":"e_1_3_3_9_2","unstructured":"Shah PH Schwartz MJ. Atlas of Laparoscopic and Robotic Urologic Surgery. Philadelphia PA: Elsevier 2017."},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.4103\/1319-2442.144247"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.15242"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.transproceed.2019.04.089"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-004-8811-3"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/ctr.13542"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.11220918"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.12659\/AOT.918189"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.4293\/JSLS.2015.00044"},{"key":"e_1_3_3_18_2","first-page":"11","article-title":"Characteristics and clinical outcomes of living renal donors in Hong Kong","volume":"24","author":"Hong YL","year":"2018","unstructured":"Hong YL, , Yee CH, , Leung CB, , Teoh YJ, , Kwan BC, , Li PK, , Hou SS, , Ng CF. Characteristics and clinical outcomes of living renal donors in Hong Kong. Hong Kong Med J, 2018; 24:11\u201317.","journal-title":"Hong Kong Med J"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-009-0330-9"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-006-9021-y"}],"container-title":["Journal of Endourology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/end.2021.0227","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/end.2021.0227","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/end.2021.0227","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T20:18:10Z","timestamp":1777407490000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/end.2021.0227"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9]]},"references-count":19,"journal-issue":{"issue":"2_suppl","published-print":{"date-parts":[[2021,9]]}},"alternative-id":["10.1089\/end.2021.0227"],"URL":"https:\/\/doi.org\/10.1089\/end.2021.0227","relation":{},"ISSN":["0892-7790","1557-900X"],"issn-type":[{"value":"0892-7790","type":"print"},{"value":"1557-900X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9]]}}}