'Keyhole' Surgery: An Innovative Boon For Live Kidney Donors

(NC)-Each year, a growing number of Canadianslive kidney donor after he read about laparoscopic
make the heartfelt decision to give one of theirsurgery on the Internet.
kidneys to a relative or friend in need."It was an easy decision to make because Michael
While this life-saving gesture is a blessing for thewas in need," said Glenn. "While any member of
recipient, it can pose challenges on a number ofour large family would have probably come
levels for the donor. The standard practice forthrough, I stepped up for the call because I was
removing a kidney is to make a 20- to 30-the youngest and most fit, and passed all the
centimetre incision across the side of the body,tests to determine if I was a suitable donor."
go through two to three layers of muscle andAsked about his recovery, Glenn recalls waking up
remove 10 centimetres of rib. With incurredthe day after surgery and walking the long
scarring and several months of subsequentcorridor to Michael's room.
inactivity, the decision to be a donor is"If it wasn't for the scar, I would never have
understandably daunting for many.believed that I had had surgery!" he said.
Yet thanks to an innovative medical procedureAccording to Dr. Mamazza, laparoscopic surgery is
called laparoscopic or "keyhole" surgery, painfuladvantageous for a number of reasons. For
incisions and long recovery periods may soon be astarters, live donor kidneys usually last twice as
thing of the past.long as kidneys taken from cadaveric donors -
"Compared to traditional means, keyhole surgerypeople who have died suddenly as a result of
is major abdominal surgery without uncomfortablesome kind of trauma. In addition, live donors who
incisions and disfiguring," said Dr. Joseph Mamazza,undergo laparoscopic surgery suffer from minimal
lead surgeon and medical director of the Minimalpost-operative discomfort and usually have a
Access Therapeutic Program at St. Michael'sfaster convalescence, with their hospital stay
Hospital in Toronto. "It involves an 8 to10reduced from a few months to a few days.
centimetre cut in the groin area, so there is less"Keyhole surgery goes a long way in allaying both
chance of infection and other complications. "the donor and recipient's fear," said Dr. Mamazza.
During the procedure, doctors inflate the donor'sToday, living donation is on the rise, accounting for
abdomen to make small keyhole-size incisions. Aalmost 40% of all kidney transplants performed.
laparoscope (tiny fibre optic camera) is thenThe world's first live donor keyhole surgery
inserted, along with long instruments used toprocedure was performed in February 1995 at
sever blood vessels and detach the kidney.Johns Hopkins Hospital in Baltimore. Since 2001,
Two years ago, Glenn Collins underwent the firstThe Kidney Foundation of Canada has supported
laparoscopic kidney retrieval in Southern Alberta inthe work of Canadian researchers involved in the
order to help his older brother, Michael, a diabeticstudy of laparoscopic procedures.
who was diagnosed with kidney disease in 1997.The only national health charity serving the
Glenn's gift gave Michael a new lease on life,particular needs of people living with kidney
particularly since his brother had been deemed andisease, The Kidney Foundation of Canada funds
unlikely candidate for a transplant on account ofresearch, provides educational and emotional
his age and medical history.support services, advocates for access to high
A strong advocate of organ donation, Glennquality healthcare, and actively promotes
approached a clinic in Calgary about becoming aawareness of and commitment to organ donation.