We thank Drs Ratner, Montgomery, and Kavoussi for their important comments to our article, "Two Hundred One Consecutive Living-Donor Nephrectomies."1 They should be congratulated for their development of laparoscopic living-donor nephrectomy and excellent results. Significant morbidity was noted in an initial report of 20 consecutive living-donor nephrectomies, performed by the University of Maryland,2 including 2 early graft thromboses and a high incidence of ureteral complications in organ recipients. An early learning curve can be expected with any new technique, though, subsequent reports have shown results comparable to the open procedure.2-4
Shaffer D, Monaco AP. Living-Donor Nephrectomies: Laparoscopy and Open Techniques—Reply. Arch Surg. 1998;133(11):1253–1254. doi:
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