Laparoscopic Living Donor Nephrectomy for Kidneys With Multiple Arteries

Laparoscopic donor nephrectomy (LDN) involving kidneys with multiple arterial vessels is limited to a small number of reports, with all but two series reporting fewer than 25 patients. Moreover, outside of the pioneering centers at the University of Maryland and Johns Hopkins, no series of at least...

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Veröffentlicht in:Transplantation proceedings 2005-03, Vol.37 (2), p.629-630
Hauptverfasser: Husted, T.L., Hanaway, M.J., Thomas, M.J., Woodle, E.S., Buell, J.F.
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container_issue 2
container_start_page 629
container_title Transplantation proceedings
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creator Husted, T.L.
Hanaway, M.J.
Thomas, M.J.
Woodle, E.S.
Buell, J.F.
description Laparoscopic donor nephrectomy (LDN) involving kidneys with multiple arterial vessels is limited to a small number of reports, with all but two series reporting fewer than 25 patients. Moreover, outside of the pioneering centers at the University of Maryland and Johns Hopkins, no series of at least 25 patients has been published confirming these experience. The present study presents the largest series of LDN of donor kidneys with multiple arterial vessels outside of these two pioneering programs. All LDN performed at the University of Cincinnati from 2000 to 2004 were reviewed. Results between LDN kidneys with a single vessel and those with multiple vessels were compared. Statistical analysis included chi-square and Student t test. Of 240 LDN, 37 were performed for kidneys with multiple vessels (15%): nine right kidneys (25%) and 28 left kidneys (75%). Cold ischemia time was longer for the multiple vessel organs (46 ± 24 minutes) than for single vessel organs (35 ± 13 minutes; P = .001), and warm ischemia time was longer for the multiple vessel kidneys (4:20 ± 2:05 minutes) than single vessel kidneys (3:13 ± 0:47 minutes; P = .001). Recipient renal function (serum creatinine) was similar for multiple and single artery donors at postoperative day 7 (1.76 ± 1.38 and 1.7 ± 1.47) and at postoperative day 365 (1.06 ± 0.3 and 1.34 ± 0.44). This experience confirms results from other series in documenting the safety and reproducibility of LDN for kidneys with multiple arterial vessels.
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subjects Biological and medical sciences
Blood Loss, Surgical
Digestive system. Abdomen
Endoscopy
Fundamental and applied biological sciences. Psychology
Fundamental immunology
Humans
Intraoperative Complications - epidemiology
Investigative techniques, diagnostic techniques (general aspects)
Kidney Transplantation
Laparoscopy - methods
Living Donors - statistics & numerical data
Medical sciences
Nephrectomy - methods
Renal Artery - abnormalities
Renal Artery - surgery
Retrospective Studies
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the urinary system
Tissue, organ and graft immunology
Treatment Outcome
United States
title Laparoscopic Living Donor Nephrectomy for Kidneys With Multiple Arteries
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