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Abstract：
OBJECTIVE: To summarize the experience of the Middle East in laparoscopic donor nephrectomy (LDN), to discuss the associated advantages and salient problems, to examine the learning curve encountered compared with that of the pioneering centres in the West, and the contribution of the regional centres to the worldwide experience.
METHODS: We searched Medline and PubMed for all centres performing LDN in the Middle East. Questionnaires were e-mailed to the regional transplantation centres, and programme directors, and leading urological and transplant surgeons were contacted by telephone.
RESULTS: LDN in the Middle East was first introduced in 2000; this approach has been pioneered and practised at seven transplant centres within five countries in the region, and was restricted to only three Arab countries, i.e. Lebanon, Egypt and Kuwait. Data collection yielded a total of 888 procedures over one decade, representing only 2% of the total of ≈50,000 transplants during the same period. Despite variability of accurate reporting the overall outcomes were similar to those of open DN. The spectrum of complications was comparable to that from major centres in the USA during their learning curve.
CONCLUSIONS: The introduction of LDN in the Middle East has been gratifying. The relative hesitancy in introducing LDN in the rest of the Arab Middle East is multifaceted. The advantages conferred to the donor underscore the need for further expansion of this approach for kidney retrieval.
METHODS: We searched Medline and PubMed for all centres performing LDN in the Middle East. Questionnaires were e-mailed to the regional transplantation centres, and programme directors, and leading urological and transplant surgeons were contacted by telephone.
RESULTS: LDN in the Middle East was first introduced in 2000; this approach has been pioneered and practised at seven transplant centres within five countries in the region, and was restricted to only three Arab countries, i.e. Lebanon, Egypt and Kuwait. Data collection yielded a total of 888 procedures over one decade, representing only 2% of the total of ≈50,000 transplants during the same period. Despite variability of accurate reporting the overall outcomes were similar to those of open DN. The spectrum of complications was comparable to that from major centres in the USA during their learning curve.
CONCLUSIONS: The introduction of LDN in the Middle East has been gratifying. The relative hesitancy in introducing LDN in the rest of the Arab Middle East is multifaceted. The advantages conferred to the donor underscore the need for further expansion of this approach for kidney retrieval.
摘要：
目的：总结中东地区腹腔镜供肾切除术（LDN）的经验，讨论相关的优势和突出的问题，为了检查与西方先驱中心相比所遇到的学习曲线，以及区域中心对全球经验的贡献。
方法：我们在Medline和PubMed中搜索了中东所有进行LDN的中心。问卷通过电子邮件发送到区域移植中心，和项目主管，并通过电话联系了主要的泌尿外科和移植外科医生。
结果：中东的LDN于2000年首次引入；该方法已在该地区五个国家的七个移植中心率先实施。仅限于三个阿拉伯国家，即黎巴嫩，埃及和科威特。十年来，数据收集总共产生了888个程序，仅占同期约50,000例移植总数的2%。尽管准确报告的可变性，但总体结果与开放式DN相似。在学习曲线期间，并发症的范围与美国主要中心的并发症相当。
结论：LDN在中东的引入令人欣喜。在阿拉伯中东其他地区引入LDN的相对犹豫是多方面的。赋予供体的优势强调了进一步扩展该方法用于肾脏取回的需要。
方法：我们在Medline和PubMed中搜索了中东所有进行LDN的中心。问卷通过电子邮件发送到区域移植中心，和项目主管，并通过电话联系了主要的泌尿外科和移植外科医生。
结果：中东的LDN于2000年首次引入；该方法已在该地区五个国家的七个移植中心率先实施。仅限于三个阿拉伯国家，即黎巴嫩，埃及和科威特。十年来，数据收集总共产生了888个程序，仅占同期约50,000例移植总数的2%。尽管准确报告的可变性，但总体结果与开放式DN相似。在学习曲线期间，并发症的范围与美国主要中心的并发症相当。
结论：LDN在中东的引入令人欣喜。在阿拉伯中东其他地区引入LDN的相对犹豫是多方面的。赋予供体的优势强调了进一步扩展该方法用于肾脏取回的需要。
