Risk Factors for Delayed Graft Function After Hand-Assisted Laparoscopic Donor Nephrectomy

Minnee, Robert C.; Bemelman, Willem A.; Pant, K.A.M.I. Donselaar-van der; Booij, Jan; Meulen, Sylvia ter; Berge, Ineke J. M. ten; Legemate, Dink A.; Bemelman, Fréderike J.; Idu, Mirza M.

doi:10.1016/j.transproceed.2010.05.163

Cited by 7 publications

(2 citation statements)

References 25 publications

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“…27 The presence of multiple renal arteries is generally considered to make the operation more difficult in both the donor and the recipient, and it is common for centers to preferentially choose the kidney with the fewest vessels for donation. 12,23,28 We have preferentially chosen the left kidney for donation owing to the longer left renal vein length, regardless of vascular anatomy. Our results show this practice to be safe, with no difference in operative time, blood loss, or complication rate.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Living Kidney Donation at a Single Center: An Examination of Donor Outcomes with Increasing Experience

Cannon

Eng

Marvin

et al. 2011

The American Surgeon™

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This study was undertaken to examine short-term outcomes of laparoscopic donor nephrectomy performed by transplant surgeons at a medium volume institution, with the specific goal of determining the presence of a learning curve effect. With institutional review board approval, a retrospective chart review was performed examining patient demographics, operative factors, and in-hospital outcomes over a 12-year period. Specific attention was paid to differences in outcomes between patients undergoing operation in the first versus the most recent 6-year period. Continuous and categorical variables were examined using the Wilcoxon rank sum test and χ2 analysis, respectively. The study group consisted of 129 patients. Median operative time was 234 minutes with a median estimated blood loss of 100. The median preoperative creatinine was 0.9, with a postoperative median creatinine of 1.3. The overall complication rate was 12.4 per cent, with ileus being the most common. There were two cases of post op acute renal failure, both of which were self limited and did not require dialysis. No patients died. Patients in the most recent 6 years (n = 77) enjoyed a shorter length of stay (2 vs 3 days, P < 0.001) than patients in the first 6-year period (n = 52). Additionally, there was a trend towards decreased complications in the second era that did not reach significance (9.1% vs 17.3%, P = 0.17). Laparoscopic donor nephrectomy is an attractive means of donation, and can be performed with low risk to the donor and minimal learning curve effect.

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Section: Discussionmentioning

confidence: 99%

Laparoscopic Living Kidney Donation at a Single Center: An Examination of Donor Outcomes with Increasing Experience

Cannon

Eng

Marvin

et al. 2011

The American Surgeon™

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“…56,57 It is known that multiple renal arteries and (larger caliber) veins of the donor kidney may cause an increased risk of complications in recipients, such as delayed graft function. 58,59 Additionally, the presence of multiple renal vessels may cause an increased risk for kidney donors. During nephrectomy, the renal vessels are ligated, and one could expect a proportionally increased risk of vascular complications with a higher number of renal vessels.…”

Section: Multiple Arteries or Veinsmentioning

confidence: 99%

Risk Factors for Perioperative Complications in Hand-Assisted Laparoscopic Donor Nephrectomy

2014

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Living donor kidney transplant is the preferred treatment for end-stage renal disease; however, the shortage of kidney donors remains a big problem. One of the major reasons for the shortage of living donors is the risk of potentially serious surgical complications of a procedure in which the donor has no personal medical benefit. Therefore it is important to understand the risk factors for perioperative complications associated with donor nephrectomy. Hand-assisted laparoscopic donor nephrectomy is the preferred approach for kidney procurement in many medical centers. This review gives an overview of the risk factors in donor nephrectomy and more specifically in hand-assisted laparoscopic donor nephrectomy.

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Troubleshooting in Laparoscopic Donor Nephrectomy

Noguera

Azhar

Meza

et al. 2017

Laparoscopic Donor Nephrectomy

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Risk Factors for Delayed Graft Function After Hand-Assisted Laparoscopic Donor Nephrectomy

Cited by 7 publications

References 25 publications

Laparoscopic Living Kidney Donation at a Single Center: An Examination of Donor Outcomes with Increasing Experience

Laparoscopic Living Kidney Donation at a Single Center: An Examination of Donor Outcomes with Increasing Experience

Risk Factors for Perioperative Complications in Hand-Assisted Laparoscopic Donor Nephrectomy

Troubleshooting in Laparoscopic Donor Nephrectomy

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