HALS-Nephrectomy and Distal Pancreatectomy in Living Donor Operation for Simultaneous Pancreas and Kidney Transplantation: Summary of 10 cases in a Single Institution

Living donor operation for simultaneous pancreas and kidney transplantation is thought to be generally invasive. We have to improve this procedure less invasive and safer for donor benefit, so, we introduced hand-assisted laparoscopic (HALS) approach to donor operation and summarize the results in this presentation. We have performed 16 cases of living donor simultaneous pancreas kidney transplantation (LD-SPKTx). With the last 10 cases, we introduced HALSnephrectomy and distal pancreatectomy (LDNP) for donor operation. We demonstrated that HALS-LDNP would have advantages of safeness for donor and of transplant organ function in LD-SPKTx. Long-term, prospective follow-up is warranted to determine the impact of this procedure on LD-SPK benefit.