The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on laparoscopic live donor simple nephrectomy.

Description

Laparoscopic nephrectomy is used to harvest kidneys from live donors.  It can be performed via a retroperineal approach or a transperitoneal approach, but the transperitoneal approach is preferred because it allows more laparoscopic working space and also makes it easier to remove the kidney from the abdomen through a less painful midline incision. The procedure involves the insertion of laparoscopic instruments through the abdominal skin, insufflation of carbon dioxide and removal of a kidney, usually that on the left side.

Coding and clinical classification codes for this guidance

Your responsibility

This guidance represents the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, healthcare professionals are expected to take this guidance fully into account. However, the guidance does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer.

Commissioners and/or providers have a responsibility to implement the guidance, in their local context, in light of their duties to have due regard to the need to eliminate unlawful discrimination, advance equality of opportunity, and foster good relations. Nothing in this guidance should be interpreted in a way that would be inconsistent with compliance with those duties.