Robotic Donor Nephrectomy (RDN)

  • Arvind P. Ganpule
  • Ankush Jairath


The single most important factor in case of renal transplant is to avoid any complication in donor. Recovery from a surgery, which is done to benefit another human being, should be early and complication free as far as possible. Innovation in laparoscopy and robotics surgery has greatly reduced complications associated with open donor nephrectomy, while maintaining the same graft survival. Any complication in donor is considered drastic; hence, prevention of complications in live donor is of utmost importance in case of renal transplant. We emphasize the importance of knowing renal anatomy before taking the donor for operation in order to reduce or rather prevent complications during the procedure. This chapter also summarizes the importance of preoperative evaluation, reasons for complication at each step of donor nephrectomy, prevention and further management, if at all any injury occurs, in a simplified organized manner.


Robotic surgery Donor nephrectomy Complications Renal vein Renal artery Vascular staplers Chylous ascites Injury 


  1. 1.
    Wedmid A, Palese MA. Complications of laparoscopic donor nephrectomy. In: Ghavamian R, editor. Complications of laparoscopic and robotic urologic surgery. New York: Springer; 2010. p. 127–42.CrossRefGoogle Scholar
  2. 2.
    Gill IBS, Kaouk JH, Stoller ML. Donor nephrectomy and autotransplantation. In: Tips and tricks in laparoscopic urology. London: Springer; 2007. p. 47–55.Google Scholar
  3. 3.
    Tzvetanov IG, Spaggiari M, Oberholzer J, Benedetti E. Robotic donor nephrectomy: hand-assisted technique. In: Abaza R, editor. Robotic renal surgery. New York: Springer; 2013. p. 33–49.Google Scholar
  4. 4.
    Hsi RS, Ojogho ON, Baldwin DD. Analysis of techniques to secure the renal hilum during laparoscopic donor nephrectomy: review of the FDA database. Urology. 2009;74:142–7.CrossRefPubMedGoogle Scholar
  5. 5.
    Kurukkal SN. Techniques to secure renal hilum in laparoscopic donor nephrectomy. World J Lap Surg. 2012;5:21–6.Google Scholar
  6. 6.
    Aliasgari M, Shakhssalim N, Dadkhah F, Ghadian A, Moghaddam SM. Donor nephrectomy with and without preservation of gonadal vein while dissecting the ureter. Urol J. 2008 Summer;5:168–72.PubMedGoogle Scholar
  7. 7.
    Amer T, Biju RD, Hutton R, Alsawi M, Aboumarzouk O, Hasan R, Clark R, Little B. Laparoscopic nephrectomy-Pfannenstiel or expanded port site specimen extraction: a systematic review and meta-analysis. Cent European J Urol. 2015;68:322.PubMedPubMedCentralGoogle Scholar
  8. 8.
    Jairath A, Singh A, Ganpule A, Mishra S, Sabnis R, Desai M. Management protocol for chylous ascites after laparoscopic nephrectomy. Urology. 2015;86:521–8.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Department of UrologyMuljibhai Patel Urology HospitalNadiadIndia
  2. 2.Muljhibhai Patel Urological HospitalNadiadIndia

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