Are there any relations among transplant centre volume, surgical technique and anatomy for donor graft selection? Ten-year multicentric Italian experience on mini-invasive living donor nephrectomy
| Autor: | Pasquale Ditonno, Mauro Frongia, A. Collini, Massimo Abelli, Salvatore Gruttadauria, Caterina Di Bella, Danilo Carlo Parolini, Elena Ticozzelli, Mario Carmellini, Gionata Spagnoletti, Flavia Caputo, Andrea Airoldi, Maria Paola Salerno, Vanessa De Pace, Barbara Buscemi, Umberto Baccarani, Enzo Capocasale, Alessandro Giacomoni, Nguefouet Momo Rostand, Andrea Solinas, Antenore Giussani, Gianmarco Bondonno, Gian Luigi Adani, Antonio Daniele Pinna, Maurizio Iaria, Andrea Bosio, Luciano De Carlis, Luigino Boschiero, Carlo Socci, Stefano Vittorio Impedovo, Giovanni Pasquale, Matteo Ravaioli, Claudio Beretta, Jacopo Romagnoli, Lucrezia Furian, Marco Spada |
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| Přispěvatelé: | Ravaioli, M, Capocasale, E, Furian, L, De Pace, V, Iaria, M, Spagnoletti, G, Salerno, M, Giacomoni, A, De Carlis, L, Di Bella, C, Rostand, N, Boschiero, L, Pasquale, G, Bosio, A, Collini, A, Carmellini, M, Airoldi, A, Bondonno, G, Ditonno, P, Impedovo, S, Beretta, C, Giussani, A, Socci, C, Parolini, D, Abelli, M, Ticozzelli, E, Baccarani, U, Adani, G, Caputo, F, Buscemi, B, Frongia, M, Solinas, A, Gruttadauria, S, Spada, M, Pinna, A, Romagnoli, J |
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Nephrology
Male Time Factors volume transplant centre medicine.medical_treatment Settore MED/18 - CHIRURGIA GENERALE 030232 urology & nephrology mini-invasive surgical approach 030230 surgery Kidney Nephrectomy delayed graft function donor outcome living donor transplant 0302 clinical medicine Living Donors Medicine Laparoscopy Kidney transplantation medicine.diagnostic_test Graft Survival Middle Aged Hospitals medicine.anatomical_structure Tissue and Organ Harvesting Female Artery medicine.medical_specialty Hospitals Low-Volume Donor Selection High-Volume 03 medical and health sciences Internal medicine Low-Volume Humans Transplantation business.industry Donor selection Perioperative medicine.disease Kidney Transplantation Surgery Hospitals High-Volume business |
| Popis: | Background Selection of the right or left living donor kidney for transplantation is influenced by many variables. In the present multi centric study including 21 Italian transplant centres, we evaluated whether centre volume or surgical technique may influence the selection process. Methods Intra- and perioperative donor data, donor kidney function, and recipient and graft survival were collected among 693 mini-invasive living donor nephrectomies performed from 2002 to 2014. Centre volume (LOW, 1-50 cases; HIGH, >50 cases) and surgical technique (FULL-LAP, full laparoscopic and robotic; HA-LAP, hand-assisted laparoscopy; MINI-OPEN, mini-lumbotomy) were correlated with selection of right or left donor kidney and with donor and recipient outcome. Results HIGH-volume centres retrieved a higher rate of donor right kidneys (29.3% versus 17.6%, P |
| Databáze: | OpenAIRE |
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