Kidney transplantation: A new era of laparoscopic living donor nephrectomy in Indonesia

Marcelino, Albertus; Mochtar, Chaidir Arif; Wahyudi, Irfan; Hamid, Agus Rizal Ardy Hariandy

doi:10.1016/j.asjsur.2017.02.010

Cited by 5 publications

(3 citation statements)

References 12 publications

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“…Marcelino et al. [10] published the only Indonesian data available for comparison, which was based on laparoscopic living-donor nephrectomy (LLDN) technique. In terms of procedural time, the average first warm ischemic time (WIT) of open technique in Semarang was longer compared to the LLDN in Jakarta (6.6 min vs. 4.3 min).…”

Section: Discussionmentioning

confidence: 99%

“…Better survival rate can be achieved with more transplants number as well as reaching the plateau of learning curve within the coming years. The transplant team in Semarang is also in the process of applying LLDN technique to achieve better operative results [10], [24]. An exclusive hospital-patient communication and medical record system for kidney transplant patients is also being established to ensure a long-term and complete follow-up.…”

Section: Discussionmentioning

confidence: 99%

“…Participating urologists who performed the surgery varies between institutions and are listed in the acknowledgement section. Data from Jakarta were also taken from two recent publications [10], [11].…”

Section: Methodsmentioning

confidence: 99%

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Kidney transplantation in Indonesia: An update

Supit

Nugroho

Santosa

et al. 2019

Asian Journal of Urology

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ObjectiveIndonesia has overcome several barriers to the growth of kidney transplantation within the past decade. Currently, the procedure is increasingly performed in several centers across the country. However there are limited publications on kidney transplantation from Indonesia, especially from centers outside Jakarta. This study aims to give a brief overview on transplantation performed, discuss current efforts and progresses of transplantation in Indonesia and chiefly Semarang.MethodsRetrospective analysis of 20 transplant cases in Semarang during 2014–2018 was performed. Information from other transplant centers was acquired through formal correspondences with 11 central teaching hospitals in Jakarta, Surabaya, Yogyakarta, Malang, Bali, Solo, Palembang, Aceh, Medan, Bandung, and Padang.ResultsThere were 629 recorded kidney transplantations performed in 12 centers, and we report on 245 cases with viable data. The average age of kidney recipients were younger (35.4 years old) compared to the donors (41.3 years old). Approximately half of the kidneys were obtained from related donors (49.0%) and there was only one case of cadaveric donor. The three leading etiologies of end-stage renal disease were hypertension (37.4%), diabetes mellitus (26.1%), and autoimmune disease (11.3%). There is only one center that has performed more than 100 kidney transplants in Indonesia.ConclusionIndonesia has successfully overcome several major hurdles that had previously hindered the growth of transplantation. Further improvement should concentrate on the development of integrated organ transplant infrastructure, decentralization of transplant professionals, establishment of National kidney transplant database and changing the Nation's paradigm on cadaveric organ donor through public education.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%