Laparoscopic live donor nephrectomy at the University of California San Francisco.

Laparoscopic donor nephrectomy is quickly becoming the preferred technique for kidney retrieval, since it removes many of the disincentives of kidney donation. Our experience at UCSF has confirmed that the procedure is safe, with excellent donor recovery. The transplanted kidney appears to function as well as any kidney retrieved using an open technique, at least in the short-term. Development of a successful laparoscopic donor program is best done initially with a team approach, utilizing the skills of an advanced laparoscopic surgeon, and with careful patient selection. With time, the technique can be done well by properly trained transplant surgeons with basic laparoscopic skills, with or without a hand-assist technique. As experience grows, this procedure can be applied to virtually every potential donor, and hopefully will improve live kidney donation rates.