Living Donor Nephrectomy

  • Matteo RavaioliEmail author
  • Flavia F. Neri
  • Lorenzo Maroni
  • Massimo Del Gaudio
  • Annalisa Amaduzzi
  • Giorgio Ercolani
  • Antonio Daniele Pinna


Kidney transplantation (KT) is the principal treatment of end-stage renal disease (ESRD) because it improves patient survival and quality of life compared to dialysis.

Living kidney donation (LKD) is the main strategy to overcome the organ shortage since the procedure is relatively safe for the donors and has improved graft survival with respect to cadaveric kidney donation (CKD).

There are many different surgical techniques for living donor nephrectomy, and over the years laparoscopic nephrectomy became advocated by many high-volume centers, but donor safety and recipient outcome still remain the principal end points for any surgical strategy.

Concluding, an open minimally invasive or laparoscopic approach is now considered the best option for living donor nephrectomy. The choice between minimal invasive and laparoscopic, and between the different laparoscopic techniques, should be based on the local expertise of the surgeons.


Kidney transplantation Living kidney donation Laparoscopic approach Cadaveric kidney donation Surgical techniques 


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Copyright information

© Springer International Publishing Switzerland 2015

Authors and Affiliations

  • Matteo Ravaioli
    • 1
    Email author
  • Flavia F. Neri
    • 1
  • Lorenzo Maroni
    • 2
  • Massimo Del Gaudio
    • 1
  • Annalisa Amaduzzi
    • 1
  • Giorgio Ercolani
    • 3
  • Antonio Daniele Pinna
    • 3
  1. 1.Department of General Surgery and TransplantationSant’Orsola-Malpighi Hospital, University of BolognaBolognaItaly
  2. 2.Division of General and Transplant SurgeryUniversity of BolognaBolognaItaly
  3. 3.Department of Medical and Surgical SciencesSant’Orsola-Malpighi Hospital, Alma Mater Studiorum – University of BolognaBolognaItaly

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