Introduction: Laparoscopic donor nephrectomy is being progressively accepted with considerably decreased morbidity and favorable graft function. Controversy persists about whether procurement of the right kidney can be done successfully by the laparoscopic approach. To date, most laparoscopic live donor nephrectomies have been performed on the left side because the shorter length of the right renal vein poses technical challenges for the transplant surgeon in implanting the kidney into the recipient. Right-sided operation is technically more difficult and much more challenging because retraction of the liver is usually required and because the shorter right renal vein increases the risk of allograft thrombosis. Nevertheless, despite difficulties there are certain advantages like lack of draining venous tributaries which shorten the time of surgery.
Objective: To evaluate the outcomes of right sided laparoscopic donor nephrectomy in Pakistani kidney donors 
Materials and methods: We collected retrospective live donor nephrectomy data from Single center from May 2014 – Feb 2017. Demographics and hospital records were reviewed. Laparoscopic donor nephrectomy (RLDN) of right side was compared with left sided live related laparoscopic donor nephrectomy (LLDN). Demographic data was recorded in laparoscopic patients along with open donor group. Intra and post-operative events and complication were also analyzed. Finally the graft outcome was evaluated in right sided and left sided laparoscopic group.
Results: A total of 458 patients who had laparoscopic donor nephrectomy were included in this study. Right laparoscopic donor nephrectomy was done in 46 cases. Out of which 30 were male and 16 female. Mean hospital stay was 3 days and mean operative time was approximately 3 hours on right side. All grafts were primary functioning and there was satisfactory drop in Serum creatinine. Postoperative complications were noticed in two cases including cellulitis of abdominal wall and conversion in one case because of bleeding.
Conclusions: The results for laparoscopic donor nephrectomy were comparable to Right sided kidneys can be harvested safely laparoscopically with excellent donor outcome as well as comparable graft function with left sided laparoscopic and open group.