Hand-assisted laparoscopic donor nephrectomy in kidneys with multiple renal arteries versus a single renal artery: An analysis of vascular complications from 1,350 cases
| Autor: | Burak Kocak, Basak Akyollu, Emre Arpali, Bilal Gunaydin, Cihan Karatas, Doğukan Yaprak |
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| Přispěvatelé: | Arpalı, Emre, Karataş, Cihan, Akyollu, Başak, Yaprak, Doğukan, Koçak, Burak, Günaydın, Bilal, Koç University Hospital |
| Rok vydání: | 2020 |
| Předmět: |
Transplantation
Kidney medicine.medical_specialty business.industry Medicine Urology and nephrology medicine.medical_treatment Perioperative Nephrectomy Surgery medicine.anatomical_structure medicine.artery Hand-assisted laparoscopic donor nephrectomy Multiple renal arteries Vascular complications Renal artery Risk factor business Body mass index MRAS Artery |
| Zdroj: | Turk J Urol Turkish Journal of Urology |
| ISSN: | 2149-3057 2149-3235 |
| Popis: | Objective: laparoscopic donor nephrectomy (LDN) has been shown to be a safe approach with better morbidity results. Impact of multiple renal arteries (MRAs) and anatomical variations has been reviewed by many authors. In our study, the relationship between the donors with MRAs and risk of perioperative vascular complications related to donor nephrectomy was investigated. Material and methods: patients who underwent hand-assisted LDNs between January 2007 and February 2018 were reviewed retrospectively. Patient age, sex, body mass index (BMI), waist circumference, side of donor nephrectomies, donors with MRAs, intraoperative vascular complications, conversion rates, hospitalization durations, and operative times were extracted. Risk factors for perioperative vascular complications were defined. Results: there were MRAs in 288 kidney donors (21.3%). The number of patients who underwent a right donor nephrectomy was 113 (8.4%). BMI, waist circumference, and postoperative hospital stay were not significantly different between donors with one artery and those with MRAs (p>0.05). The renovascular complication rate and overall conversion rate to open surgery were significantly higher in donors with MRAs (p NA |
| Databáze: | OpenAIRE |
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