Early outcomes of laparoscopic donor nephrectomy with multiple renal arteries
| Autor: | Sandro Nichele, Fernando Meyer, Ari Adamy, Christiano Machado, Luiz Sergio Santos |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Adult
Male medicine.medical_specialty Urology medicine.medical_treatment Operative Time Kidney lcsh:RC870-923 Nephrectomy Cold Ischemia Time Statistics Nonparametric Postoperative Complications Renal Artery medicine.artery Living Donors medicine Humans Renal artery Laparoscopicy Contraindication Dialysis Kidney transplantation business.industry Graft Survival Reproducibility of Results Arteries Middle Aged lcsh:Diseases of the genitourinary system. Urology medicine.disease Kidney Transplantation Surgery Treatment Outcome medicine.anatomical_structure Female Laparoscopy business Complication Artery |
| Zdroj: | International braz j urol v.38 n.4 2012 International Braz J Urol Sociedade Brasileira de Urologia (SBU) instacron:SBU International Brazilian Journal of Urology, Vol 38, Iss 4, Pp 496-503 (2012) International braz j urol, Volume: 38, Issue: 4, Pages: 496-503, Published: AUG 2012 |
| ISSN: | 1677-5538 |
| DOI: | 10.1590/s1677-55382012000400009 |
| Popis: | PURPOSE: We evaluated our experience with laparoscopic donor nephrectomy in patients with multiple renal arteries, comparing operative outcomes and early graft function with patients with a single renal artery. MATERIALS AND METHODS: From January 2003 to February 2009, 130 patients underwent laparoscopic donor nephrectomy at our institution, 108 (83%) with a single renal artery and 22 (17%) with multiple arteries. Donor and recipient outcomes for single artery and multiple arteries allografts were compared. RESULTS: The LDN operative time was similar between the single artery and multiple arteries groups (162 vs 163 min, respectively, p = 0.87). Allografts with multiple arteries had significantly longer warm ischemia time (3.9 vs 4.9 min, p = 0.05) and cold ischemia time (72 vs 94 min, p < 0.001) than those with single artery. The conversion rate was similar between single and multiple arteries groups (6% vs 4.5%, respectively, p = 0.7). Multiple arteries grafts had a non statistically significant higher rate of poor graft function when compared to single artery grafts (23% vs 12%, respectively, p = 0.18). Five patients in the single artery group (4.6%) and one patient in the multiple arteries group (4.5%) needed dialysis during the first postoperative week. Overall, recipient complication rates were similar between single and multiple arteries groups (12.9% vs 18.1%, respectively, p = 0.51). CONCLUSION: Laparoscopic donor nephrectomy with multiple arteries was associated with a non statistically significant higher rate of poor early graft function. The procedure appears to be safe in patients with multiple arteries, with similar complications rates. Multiple arteries should not be a contraindication for laparoscopic donor nephrectomy. |
| Databáze: | OpenAIRE |
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