Laparoscopic Donor Nephrectomy : A Plea for the Right-Sided Approach
Laparoscopic donor nephrectomy (LDN) has become the preferred procedure for live donor nephrectomy. Most transplant surgeons are reluctant toward right-sided LDN (R-LDN) fearing short vessels and renal vein thrombosis. In our institution, selection of the appropriate kidney for donation was based on...
Gespeichert in:
| Veröffentlicht in: | Transplantation 2009-03, Vol.87 (5), p.745-750 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 750 |
|---|---|
| container_issue | 5 |
| container_start_page | 745 |
| container_title | Transplantation |
| container_volume | 87 |
| creator | DOLS, Leonienke F. C KOK, Niels F. M ALWAYN, Ian P. J KHE TRAN, T. C WEIMAR, Willem IJZERMANS, Jan N. M |
| description | Laparoscopic donor nephrectomy (LDN) has become the preferred procedure for live donor nephrectomy. Most transplant surgeons are reluctant toward right-sided LDN (R-LDN) fearing short vessels and renal vein thrombosis.
In our institution, selection of the appropriate kidney for donation was based on the same criteria that traditionally governed open donor nephrectomy. All intraoperative and postoperative data were prospectively recorded.
One hundred fifty-nine R-LDNs (56%) and 124 left-sided LDNs (L-LDN, 44%) were performed. Demographics did not significantly differ. Complications occurred in 10 (6%) vs. 23 (19%) procedures (R-LDN vs. L-LDN, P=0.002), resulting in 2 and 11 conversions, respectively. Right-sided kidney donation was the only independent preventative factor for complications in multivariate analysis (P=0.008, Odds ratio 0.33). R-LDN was associated with shorter operation time (mean 202 vs. 247 min, P |
| doi_str_mv | 10.1097/TP.0b013e318198a3a6 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_67047943</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>67047943</sourcerecordid><originalsourceid>FETCH-LOGICAL-c409t-4450c40d7b1b68da411e4ecbcfc2b01ba725bc8b5352aa219a5b7a9e5b9c12323</originalsourceid><addsrcrecordid>eNqFkE1Lw0AQhhdRbK3-AkFy0Vvqzn5ks95K6xcULVrPYXazMZGkidn00H9vpEHBi6cZmOedYR5CzoFOgWp1vV5NqaHAHYcYdIwcowMyBslFGNGYHpIxpQJC4FyNyIn3H5RSyZU6JiPQTEvOYEwWS2ywrb2tm8IGi3pTt8GTa_LW2a6udsFNMAtWpcMg6wdd7oKX4j3vwtcidWkwa5q2RpufkqMMS-_Ohjohb3e36_lDuHy-f5zPlqEVVHehEJL2XaoMmChOUQA44ayxmWX9IwYVk8bGRnLJEBlolEahdtJoC4wzPiFX-7392c-t811SFd66ssSNq7c-iRQVSgv-L8gAOAUR9SDfg7Z34FuXJU1bVNjuEqDJt-VkvUr-Wu5TF8P6ralc-psZtPbA5QCgt1hmLW5s4X84BiyKBNf8Cz6VhHo</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>21130146</pqid></control><display><type>article</type><title>Laparoscopic Donor Nephrectomy : A Plea for the Right-Sided Approach</title><source>MEDLINE</source><source>Journals@Ovid Complete</source><creator>DOLS, Leonienke F. C ; KOK, Niels F. M ; ALWAYN, Ian P. J ; KHE TRAN, T. C ; WEIMAR, Willem ; IJZERMANS, Jan N. M</creator><creatorcontrib>DOLS, Leonienke F. C ; KOK, Niels F. M ; ALWAYN, Ian P. J ; KHE TRAN, T. C ; WEIMAR, Willem ; IJZERMANS, Jan N. M</creatorcontrib><description>Laparoscopic donor nephrectomy (LDN) has become the preferred procedure for live donor nephrectomy. Most transplant surgeons are reluctant toward right-sided LDN (R-LDN) fearing short vessels and renal vein thrombosis.
In our institution, selection of the appropriate kidney for donation was based on the same criteria that traditionally governed open donor nephrectomy. All intraoperative and postoperative data were prospectively recorded.
One hundred fifty-nine R-LDNs (56%) and 124 left-sided LDNs (L-LDN, 44%) were performed. Demographics did not significantly differ. Complications occurred in 10 (6%) vs. 23 (19%) procedures (R-LDN vs. L-LDN, P=0.002), resulting in 2 and 11 conversions, respectively. Right-sided kidney donation was the only independent preventative factor for complications in multivariate analysis (P=0.008, Odds ratio 0.33). R-LDN was associated with shorter operation time (mean 202 vs. 247 min, P<0.001) and less blood loss (139 vs. 294 mL, P<0.001). Hospital stay was 3 days in both groups. With regard to the recipients, the second warm ischemia time was similar (29 vs. 28 min, P=0.699).
R-LDN is faster and safer than L-LDN and does not adversely affect graft function. R-LDN may be advocated to allow donors to benefit from the advantages of laparoscopic surgery.</description><identifier>ISSN: 0041-1337</identifier><identifier>EISSN: 1534-6080</identifier><identifier>DOI: 10.1097/TP.0b013e318198a3a6</identifier><identifier>PMID: 19295321</identifier><identifier>CODEN: TRPLAU</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Adult ; Biological and medical sciences ; Digestive system. Abdomen ; Endoscopy ; Female ; Functional Laterality ; Fundamental and applied biological sciences. Psychology ; Fundamental immunology ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Laparoscopy - methods ; Male ; Medical sciences ; Middle Aged ; Nephrectomy - methods ; Patient Selection ; Renal Artery - anatomy & histology ; Renal Veins - anatomy & histology ; Retrospective Studies ; Safety ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the urinary system ; Tissue and Organ Harvesting - methods ; Tissue, organ and graft immunology</subject><ispartof>Transplantation, 2009-03, Vol.87 (5), p.745-750</ispartof><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c409t-4450c40d7b1b68da411e4ecbcfc2b01ba725bc8b5352aa219a5b7a9e5b9c12323</citedby><cites>FETCH-LOGICAL-c409t-4450c40d7b1b68da411e4ecbcfc2b01ba725bc8b5352aa219a5b7a9e5b9c12323</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,782,786,27933,27934</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21266439$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19295321$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>DOLS, Leonienke F. C</creatorcontrib><creatorcontrib>KOK, Niels F. M</creatorcontrib><creatorcontrib>ALWAYN, Ian P. J</creatorcontrib><creatorcontrib>KHE TRAN, T. C</creatorcontrib><creatorcontrib>WEIMAR, Willem</creatorcontrib><creatorcontrib>IJZERMANS, Jan N. M</creatorcontrib><title>Laparoscopic Donor Nephrectomy : A Plea for the Right-Sided Approach</title><title>Transplantation</title><addtitle>Transplantation</addtitle><description>Laparoscopic donor nephrectomy (LDN) has become the preferred procedure for live donor nephrectomy. Most transplant surgeons are reluctant toward right-sided LDN (R-LDN) fearing short vessels and renal vein thrombosis.
In our institution, selection of the appropriate kidney for donation was based on the same criteria that traditionally governed open donor nephrectomy. All intraoperative and postoperative data were prospectively recorded.
One hundred fifty-nine R-LDNs (56%) and 124 left-sided LDNs (L-LDN, 44%) were performed. Demographics did not significantly differ. Complications occurred in 10 (6%) vs. 23 (19%) procedures (R-LDN vs. L-LDN, P=0.002), resulting in 2 and 11 conversions, respectively. Right-sided kidney donation was the only independent preventative factor for complications in multivariate analysis (P=0.008, Odds ratio 0.33). R-LDN was associated with shorter operation time (mean 202 vs. 247 min, P<0.001) and less blood loss (139 vs. 294 mL, P<0.001). Hospital stay was 3 days in both groups. With regard to the recipients, the second warm ischemia time was similar (29 vs. 28 min, P=0.699).
R-LDN is faster and safer than L-LDN and does not adversely affect graft function. R-LDN may be advocated to allow donors to benefit from the advantages of laparoscopic surgery.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Digestive system. Abdomen</subject><subject>Endoscopy</subject><subject>Female</subject><subject>Functional Laterality</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Fundamental immunology</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Laparoscopy - methods</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nephrectomy - methods</subject><subject>Patient Selection</subject><subject>Renal Artery - anatomy & histology</subject><subject>Renal Veins - anatomy & histology</subject><subject>Retrospective Studies</subject><subject>Safety</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the urinary system</subject><subject>Tissue and Organ Harvesting - methods</subject><subject>Tissue, organ and graft immunology</subject><issn>0041-1337</issn><issn>1534-6080</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1Lw0AQhhdRbK3-AkFy0Vvqzn5ks95K6xcULVrPYXazMZGkidn00H9vpEHBi6cZmOedYR5CzoFOgWp1vV5NqaHAHYcYdIwcowMyBslFGNGYHpIxpQJC4FyNyIn3H5RSyZU6JiPQTEvOYEwWS2ywrb2tm8IGi3pTt8GTa_LW2a6udsFNMAtWpcMg6wdd7oKX4j3vwtcidWkwa5q2RpufkqMMS-_Ohjohb3e36_lDuHy-f5zPlqEVVHehEJL2XaoMmChOUQA44ayxmWX9IwYVk8bGRnLJEBlolEahdtJoC4wzPiFX-7392c-t811SFd66ssSNq7c-iRQVSgv-L8gAOAUR9SDfg7Z34FuXJU1bVNjuEqDJt-VkvUr-Wu5TF8P6ralc-psZtPbA5QCgt1hmLW5s4X84BiyKBNf8Cz6VhHo</recordid><startdate>20090315</startdate><enddate>20090315</enddate><creator>DOLS, Leonienke F. C</creator><creator>KOK, Niels F. M</creator><creator>ALWAYN, Ian P. J</creator><creator>KHE TRAN, T. C</creator><creator>WEIMAR, Willem</creator><creator>IJZERMANS, Jan N. M</creator><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>H94</scope><scope>7X8</scope></search><sort><creationdate>20090315</creationdate><title>Laparoscopic Donor Nephrectomy : A Plea for the Right-Sided Approach</title><author>DOLS, Leonienke F. C ; KOK, Niels F. M ; ALWAYN, Ian P. J ; KHE TRAN, T. C ; WEIMAR, Willem ; IJZERMANS, Jan N. M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c409t-4450c40d7b1b68da411e4ecbcfc2b01ba725bc8b5352aa219a5b7a9e5b9c12323</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Digestive system. Abdomen</topic><topic>Endoscopy</topic><topic>Female</topic><topic>Functional Laterality</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Fundamental immunology</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Laparoscopy - methods</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nephrectomy - methods</topic><topic>Patient Selection</topic><topic>Renal Artery - anatomy & histology</topic><topic>Renal Veins - anatomy & histology</topic><topic>Retrospective Studies</topic><topic>Safety</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the urinary system</topic><topic>Tissue and Organ Harvesting - methods</topic><topic>Tissue, organ and graft immunology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>DOLS, Leonienke F. C</creatorcontrib><creatorcontrib>KOK, Niels F. M</creatorcontrib><creatorcontrib>ALWAYN, Ian P. J</creatorcontrib><creatorcontrib>KHE TRAN, T. C</creatorcontrib><creatorcontrib>WEIMAR, Willem</creatorcontrib><creatorcontrib>IJZERMANS, Jan N. M</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Transplantation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>DOLS, Leonienke F. C</au><au>KOK, Niels F. M</au><au>ALWAYN, Ian P. J</au><au>KHE TRAN, T. C</au><au>WEIMAR, Willem</au><au>IJZERMANS, Jan N. M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Laparoscopic Donor Nephrectomy : A Plea for the Right-Sided Approach</atitle><jtitle>Transplantation</jtitle><addtitle>Transplantation</addtitle><date>2009-03-15</date><risdate>2009</risdate><volume>87</volume><issue>5</issue><spage>745</spage><epage>750</epage><pages>745-750</pages><issn>0041-1337</issn><eissn>1534-6080</eissn><coden>TRPLAU</coden><abstract>Laparoscopic donor nephrectomy (LDN) has become the preferred procedure for live donor nephrectomy. Most transplant surgeons are reluctant toward right-sided LDN (R-LDN) fearing short vessels and renal vein thrombosis.
In our institution, selection of the appropriate kidney for donation was based on the same criteria that traditionally governed open donor nephrectomy. All intraoperative and postoperative data were prospectively recorded.
One hundred fifty-nine R-LDNs (56%) and 124 left-sided LDNs (L-LDN, 44%) were performed. Demographics did not significantly differ. Complications occurred in 10 (6%) vs. 23 (19%) procedures (R-LDN vs. L-LDN, P=0.002), resulting in 2 and 11 conversions, respectively. Right-sided kidney donation was the only independent preventative factor for complications in multivariate analysis (P=0.008, Odds ratio 0.33). R-LDN was associated with shorter operation time (mean 202 vs. 247 min, P<0.001) and less blood loss (139 vs. 294 mL, P<0.001). Hospital stay was 3 days in both groups. With regard to the recipients, the second warm ischemia time was similar (29 vs. 28 min, P=0.699).
R-LDN is faster and safer than L-LDN and does not adversely affect graft function. R-LDN may be advocated to allow donors to benefit from the advantages of laparoscopic surgery.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>19295321</pmid><doi>10.1097/TP.0b013e318198a3a6</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0041-1337 |
| ispartof | Transplantation, 2009-03, Vol.87 (5), p.745-750 |
| issn | 0041-1337 1534-6080 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_67047943 |
| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adult Biological and medical sciences Digestive system. Abdomen Endoscopy Female Functional Laterality Fundamental and applied biological sciences. Psychology Fundamental immunology Humans Investigative techniques, diagnostic techniques (general aspects) Laparoscopy - methods Male Medical sciences Middle Aged Nephrectomy - methods Patient Selection Renal Artery - anatomy & histology Renal Veins - anatomy & histology Retrospective Studies Safety Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the urinary system Tissue and Organ Harvesting - methods Tissue, organ and graft immunology |
| title | Laparoscopic Donor Nephrectomy : A Plea for the Right-Sided Approach |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-03T09%3A18%3A53IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Laparoscopic%20Donor%20Nephrectomy%20:%20A%20Plea%20for%20the%20Right-Sided%20Approach&rft.jtitle=Transplantation&rft.au=DOLS,%20Leonienke%20F.%20C&rft.date=2009-03-15&rft.volume=87&rft.issue=5&rft.spage=745&rft.epage=750&rft.pages=745-750&rft.issn=0041-1337&rft.eissn=1534-6080&rft.coden=TRPLAU&rft_id=info:doi/10.1097/TP.0b013e318198a3a6&rft_dat=%3Cproquest_cross%3E67047943%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=21130146&rft_id=info:pmid/19295321&rfr_iscdi=true |